GARY H. SHAW, M.D., P.C. (NPI# 1245429281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245429281 |
| Entity Type | Organization |
| Organization Name | GARY H. SHAW, M.D., P.C. |
| Practice Address |
560 W Mitchell St Ste 505 Petoskey MI 49770-2275 |
| Practice Telephone | 2314872100 |
| Practice Fax Number | 2314876049 |
| Mailing Telephone | 2314872100 |
| Mailing Fax Number | 2314876049 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2009-11-18 |
| Authorized Official Name | GARY H. SHAW (PRESIDENT) |
| Authorized Official Telephone | 2314872100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301045389 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104092118 | 05 |
| Street Address |
560 W MITCHELL ST STE 505 |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156940 | Melanie S Manary | Internal Medicine | 560 W Mitchell St, Ste 300, Petoskey, MI 49770-2278 | 2005-06-30 |
| 1346862455 | Mclaren Central Michigan | Clinic/Center | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2020-05-12 |
| 1841732617 | Dawn Ebersole | Nurse Practitioner | 560 W Mitchell St, Suite M40, Petoskey, MI 49770-2275 | 2016-11-10 |
| 1689025363 | Kasey Peltier | Nurse Practitioner | 560 W Mitchell St, Suite 505, Petoskey, MI 49770-2275 | 2016-06-24 |
| 1912390741 | Twin Oaks Mental Health Center, LLC | Clinic/Center | 560 W Mitchell St, Suite 208, Petoskey, MI 49770-2275 | 2015-03-18 |
| 1053728840 | Kristi Lynn Dipzinski | Nurse Practitioner | 560 W Mitchell St, Suite 300, Petoskey, MI 49770-2275 | 2014-07-14 |
| 1609281401 | Cale M Sebald | Internal Medicine | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2014-07-01 |
| 1942629530 | Robin Brooks | Audiologist | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2014-04-10 |
| 1295074128 | Lindsay Ann Potts | Physician Assistant | 560 W Mitchell St, Suite 505, Petoskey, MI 49770-2275 | 2013-02-13 |
| 1720327695 | Harbor Neurology Plc | Psychiatry & Neurology | 560 W Mitchell St, Suite 350, Petoskey, MI 49770-2275 | 2013-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073956694 | Jonathan Aaron Ducastel | Internal Medicine | 560 W Mitchell St Ste 160, Petoskey, MI 49770 | 2013-04-12 |
| 1164742268 | Alfred Godwin Ajise | Internal Medicine | 820 Arlington Ave, Nephrology, Petoskey, MI 49770-2469 | 2010-06-11 |
| 1013921154 | Gary H Shaw | Internal Medicine | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440439 | Nephrocare Dialysis, LLC | Internal Medicine | Garden City Hosptial, 6245 Inkster Road, Garden City, MI 48135 | 2020-02-25 |
| 1740823459 | Critical Care Nephrology, PC | Internal Medicine | 333 E Parent Ave, Royal Oak, MI 48067-3748 | 2019-10-25 |
| 1568948537 | Amanda Thelen | Internal Medicine | 405 W Greenlawn Ave Ste 230, Lansing, MI 48910-0812 | 2018-07-12 |
| 1023507357 | James Francis Murphy | Internal Medicine | Hope Medical Clinic 518 Harriet St., Ypsilanti, MI 48197-0311 | 2018-05-02 |
| 1457865354 | Aaa Home Visiting Pllc | Internal Medicine | 1502 Fort St, Detroit, MI 48216 | 2017-11-30 |
| 1982129805 | Abhay Mishra | Internal Medicine | 4160 John R St Ste 908, Detroit, MI 48201-2017 | 2017-08-11 |
| 1326586959 | Alhaji Consultant Pllc | Internal Medicine | 29201 Chateau Ct, Farmington Hills, MI 48334-4112 | 2017-02-02 |
| 1033669445 | T-beyene Hypertension & Kidney Care Plc | Internal Medicine | 4160 John R Ste 1011, Harper Professional Building, Detroit, MI 48201 | 2016-10-10 |
| 1285085860 | Omer Yousif | Internal Medicine | 29829 Telegraph Rd Ste 202, Southfield, MI 48034-7656 | 2016-06-24 |
| 1710378377 | Rawm Vascular Access, Pllc | Internal Medicine | 1540 36th Street. Sw, Wyoming, MI 49509 | 2015-02-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.