Individual provider · Type 1 NPI

Jesse Daniel Shaw, D.O

Sports Medicine (Family Medicine) Physician · Stillwater, OK

NPI number 1912293572 Active

Practice location

170 Athletics Center
Stillwater, OK 74078-0001

Mailing address

5310 E 31st St Ste 13
Tulsa, OK 74135-5013

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010X9600 (OK)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1912293572

Jesse Daniel Shaw, D.O's National Provider Identifier is 1912293572, issued on Jun 22, 2011. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Stillwater, OK. The record was last updated on Sep 16, 2026.