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

Jesse Daniel Shaw, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1912293572

Jesse Daniel Shaw, DO is an Orthopedic Surgery in Stillwater, Oklahoma. Qualified in 2019, 7 years ago. Practices with Public Hospital District 1-A of Whitman County, a 96-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

170 Athletics Ctr
Stillwater, OK 74078-0001
Phone: (405) 744-5430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 9600 (OK)

Record details

NPI number1912293572
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 22, 2011
Last updated in NPPESAugust 8, 2026
Certification dateAugust 8, 2026
Mailing address170 Athletics Center, Stillwater, OK 74078-0001

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Public Hospital District 1-A Of Whitman County — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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