Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathryn Weber Shaw, MD

Individual provider Surgery Physician · NPI 1649515297

Dr. Kathryn Weber Shaw, MD is a General Surgery in Hollywood, Florida. Graduated from Temple University School of Medicine in 2012, 14 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group and accepts Medicare assignment. Licensed in Florida and Washington.

Years since qualifying
14
Trained at
Temple University School of Medicine
Licensed in
FL, WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1150 N 35th Ave Ste 390
Hollywood, FL 33021-5429
Phone: (954) 265-7450
Fax: (954) 265-7459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME141862 (FL)
Surgery Physician Taxonomy 208600000X · Licence MD60740019 (WA)

Record details

NPI number1649515297
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 9, 2012
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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