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

Vincent Lee Shaw Jr., MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1154356491

Vincent Lee Shaw Jr., MD is a Family Practice in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2003, 23 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
23
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2006
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

3604 Nicholson Dr Ste 3
Baton Rouge, LA 70802-8602
Phone: (225) 765-5500
Fax: (225) 374-9104
Show map & directions

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

Additional practice locations (1)

  • 1 North Stadium Dr Tiger Stadium, Baton Rouge, LA 70803-3731 — (225) 578-9244

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 026422 (LA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 026422 (LA)

Record details

NPI number1154356491
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2003 (23 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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