GARY H. SHAW M.D. P.C. NPI 1245429281

NPI Information

  • NPI: 1245429281
  • Provider Name: GARY H. SHAW, M.D., P.C.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 560 W MITCHELL ST
    STE 505
    PETOSKEY, MI
    ZIP 49770
  • Phone: (231) 487-2100

Map and Directions

Get Directions

NPI Details

GARY H. SHAW, M.D., P.C. is a nephrology internal medicine in Petoskey, MI. The provider is 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. GARY H. SHAW, M.D., P.C. NPI is 1245429281. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

560 W MITCHELL ST
STE 505
PETOSKEY, MI
ZIP 49770-275
Phone: (231) 487-2100
Fax: (231) 487-6049

The provider's authorized official is Gary H. Shaw .
The authorized official title is President and has the following contact phone number (231) 487-2100.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 11/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology4301045389MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104092118MEDICAIDMICHIGAN
20P11930MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI