Douminnek Shaw

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

2821 S 106TH St Apt 114
West Allis, WI 53227-3264

Phone

(262) 676-7111

NPI assigned

Jun 17, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1447185772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S 106TH ST APT 114",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S 106TH ST APT 114",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273264",
            "telephone_number": "262-676-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DOUMINNEK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Seufert, PHARMD
• Mile Sever, DPT
• Mindy S Shah, MD
• Ruchit D Shah, M.D.
• Aida Shanti, MD
• Shea Home Healthcare LLC
• Russell Mark Sherbondy, DC
• Paul Shinkle, LAC, MSOM
• Kirstin Shuda, RPH
• Carl Joseph Sibilski Jr., D.D.S.

• Medical Physician Assistant in West Allis, WI
• Providers in West Allis, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.