Gary H. Shaw, M.D., P.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301045389 Issued in MI

Legal business name

GARY H. SHAW, M.D., P.C.

Practice address

560 W Mitchell St
Ste 505
Petoskey, MI 49770-2275

Phone

(231) 487-2100

Fax

(231) 487-6049

NPI assigned

Oct 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary H. Shaw, M.D.

Title

President

Phone

(231) 487-2100

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1245429281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "STE 505",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2100",
            "fax_number": "231-487-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "STE 505",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2100",
            "fax_number": "231-487-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY H. SHAW, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-487-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301045389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104092118",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald A. Gadowski, DO
• William James Gallo, DDS
• James Randall Galloway, DO
• Lisa Anne Galloway, D.O.
• Jazmin Garcia, LMSW
• Jocindee Gasco, MA, LLP, CAADC
• Lauren Gaskill
• Paul Michael Gauden
• Michelle Rene'E Gaudreau, CRNA
• Matthew Thomas Gaunt, DPT

• Nephrology Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.