JONATHAN STEPHEN SHAW M.D. NPI 1356672794

NPI Information

  • NPI: 1356672794
  • Provider Name: JONATHAN STEPHEN SHAW, M.D.
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6401 PRAIRIE ST STE 1700
    NORTON SHORES, MI
    ZIP 49444
  • Phone: (231) 672-7944

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NPI Details

Jonathan Stephen Shaw, M.D. is an urogynecology and reconstructive pelvic surgery in Norton Shores, MI with 18 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Jonathan Stephen Shaw, M.D. NPI is 1356672794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6401 PRAIRIE ST STE 1700
NORTON SHORES, MI
ZIP 49444-843
Phone: (231) 672-7944
Fax: (231) 672-7994

The NPI 1356672794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Repair of herniated rectum into vaginal wall (HCPCS:57250)
  • Creation of sling around urethra in female to control leakage (HCPCS:57288)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Suture closure of vagina and vaginal opening (HCPCS:57120)
  • Fitting and insertion of vaginal support device (HCPCS:57160)

The enumeration date for this NPI number is 1/25/2010 and was last updated on 8/10/2023.

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
1207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryEMC0002741MICHIGANYes
2207V00000XObstetrics & Gynecology18596NEW HAMPSHIRENo
3207V00000XObstetrics & GynecologyEMC0002741MICHIGANNo

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
113566727944MEDICAIDMICHIGAN

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

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