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GARY H SHAW M.D.
NPI 1013921154
Internal Medicine - Nephrology in Petoskey, MI

Active since July 27, 2006
416 CONNABLE AVE, PETOSKEY, MI 49770(231) 487-7303(231) 487-7313 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary H Shaw M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY H SHAW M.D. (NPI 1013921154) is an individual nephrology provider in Petoskey, Michigan, licensed in Michigan (4301045389) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1013921154
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameGARY H SHAWCredential: M.D.
Location Address416 CONNABLE AVEPetoskey, MI 49770-2212
Mailing Address560 W Mitchell St, Ste 160Petoskey, MI 49770-2276 · (231) 487-3295 · Fax (231) 487-5069
Phone(231) 487-7303
Fax(231) 487-7313
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
✔ NPI 1013921154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 4301045389
Definition
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.
416 CONNABLE AVE, Petoskey, MI 49770
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Other Identifiers 2

Medicaid1013921154MI
OtherGS045389MI · Bs State Lic#

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEELY MARIE BLOSH NP
Nurse Practitioner
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
BAY RADIATION ONCOLOGY, PLLC
Radiology (Radiation Oncology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4209
DR. JANEAN HAGGINS-DABNEY M.D.
Internal Medicine
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 922-9270
MCLAREN NORTHERN MICHIGAN
Psychiatric Unit
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
LYNDA BARTOSH RTRM, RPA
Radiology Practitioner Assistant
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
NATALIA I RUSH MD PC
Pathology (Anatomic Pathology & Clinical Pathology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
DR. MARK JAMES BIELACZYC M.D.
Anesthesiology
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 348-2795
DR. PAUL ARTHUR DOWSETT M.D.
Anesthesiology
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 348-2795

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Shaw's NPI number?

The NPI number for Gary Shaw is 1013921154. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Gary Shaw located?

Gary Shaw practices at 416 Connable Ave, Petoskey, MI 49770. The listed phone number is (231) 487-7303.

What is Gary Shaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Gary Shaw was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.