EASTON SHAW – Anesthesiology Physician, NPI 1558144204

EASTON SHAW is a healthcare provider. based in North canton, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 449111 (OH). The NPI Number for EASTON SHAW is 1558144204

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
EASTON SHAW
NPI
1558144204
Phone
(330) 243-1996
Address
7919 AMBERLY CIR NW
Enumeration Date
16 August 2023
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303433311
Graduation Year
2023 (3 years ago)
PAC ID
5890143507
Group Practice PAC ID
4183529340
Professional Enrollment ID
I20231117002960
Address ID
OH446222026DO659XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for EASTON SHAW

  • 7919 AMBERLY CIR NW

    NORTH CANTON, OH 447205681

    Phone: (330) 243-1996

    Type: Mailing

  • 300 MEDICAL PARK DR

    DOVER, OH 446222073

    Phone: (330) 343-3311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231117002960ICertified Registered Nurse Anesthetist (Crna)OHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44720)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183529340View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YOH
Nurse PractitionerOH
-OH
Gynecological OncologyFL
-OH
A N E S T H E S I O L O G YIL
Family PracticeOH
A N E S T H E S I O L O G YOH
Rheumatology, Internal MedicineOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does EASTON SHAW have a public NPI I can cite?
Public records show EASTON SHAW under NPI 1558144204.
Quick check: is EASTON SHAW active?
Public NPPES data shows EASTON SHAW with an active NPI status right now.
Which specialty label fits EASTON SHAW?
NPPES ties EASTON SHAW to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is EASTON SHAW tied to North Canton, Ohio?
If you are local to North Canton, Ohio, EASTON SHAW may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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