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JACOB AUSTIN SHAW PARAMEDIC
NPI 1083505481
Military Health Care Provider in Indianapolis, IN

Active since July 14, 2025
6704 SMITHFIELD BLVD, INDIANAPOLIS, IN 46237(317) 619-6884(317) 619-6884 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jacob Austin Shaw Paramedic NPPES

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

JACOB AUSTIN SHAW PARAMEDIC (NPI 1083505481) is an individual military health care provider provider in Indianapolis, Indiana, licensed in Indiana (M5148988) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1083505481
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameJACOB AUSTIN SHAWCredential: PARAMEDIC
Location Address6704 SMITHFIELD BLVDIndianapolis, IN 46237-9106
Mailing Address6704 Smithfield BlvdIndianapolis, IN 46237-9106 · (317) 619-6884 · Fax (317) 619-6884
Phone(317) 619-6884
Fax(317) 619-6884
Sole ProprietorYes
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1083505481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in IN · M5148988
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
6704 SMITHFIELD BLVD, Indianapolis, IN 46237
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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 Jacob Shaw's NPI number?

The NPI number for Jacob Shaw is 1083505481. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Jacob Shaw located?

Jacob Shaw practices at 6704 Smithfield Blvd, Indianapolis, IN 46237. The listed phone number is (317) 619-6884.

What is Jacob Shaw's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jacob Shaw was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.