DR. MICHAEL P. SHAW, A PROFESSIONAL CORPORATION, INC.
NPI 1265672117
Specialist in Modesto, CA

Active since March 04, 2009
2020 STANDIFORD AVE STE B, MODESTO, CA 95350(209) 522-9339(209) 525-9366 Get Directions Write a Review

NPPES record last updated: March 4, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About DR. MICHAEL P. SHAW, A PROFESSIONAL CORPORATION, INC.

This page provides the complete NPI Profile along with additional information for Dr. Michael P. Shaw, A Professional Corporation, Inc., a provider established in Modesto, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1265672117 assigned on March 2009. The practitioner's primary taxonomy code is 174400000X with license number 35996 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Elizabeth S. Shaw (Practice Administrator)

NPI
1265672117 Verify this NPI
Provider Name
DR. MICHAEL P. SHAW, A PROFESSIONAL CORPORATION, INC.
Entity Type
Organization
Location Address
2020 STANDIFORD AVE STE B MODESTO, CA 95350
Location Phone
(209) 522-9339
Location Fax
(209) 525-9366
Mailing Address
222 MEMORY LN TURLOCK, CA 95382
Mailing Phone
(209) 667-9339
Mailing Fax
(209) 664-0505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2009
Last Update Date
03-04-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
35996
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELIZABETH S. SHAW

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(209) 667-9339

Reviews for DR. MICHAEL P. SHAW, A PROFESSIONAL CORPORATION, INC.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Pathology)
2020 STANDIFORD AVE STE B
MODESTO, CA 95350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265672117, enumerated as an "organization" on March 04, 2009.

The provider is located at 2020 STANDIFORD AVE STE B MODESTO, CA 95350 and the phone number is (209) 522-9339.

Specialist with taxonomy code 174400000X.