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DR. MARY JO SHAW MD
NPI 1316957202
Pediatrics in Coeur D Alene, ID

Active since August 09, 2006
700 W IRONWOOD DR, SUITE 155, COEUR D ALENE, ID 83814(208) 667-0585(208) 667-0876 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Jo Shaw Md NPPES

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

DR. MARY JO SHAW MD (NPI 1316957202) is an individual pediatrics provider in Coeur D Alene, Idaho, licensed in Idaho (M5325) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1316957202
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY JO SHAWCredential: MD
Location Address700 W IRONWOOD DR, SUITE 155Coeur D Alene, ID 83814-2656
Mailing Address700 W Ironwood Dr, Suite 155Coeur D Alene, ID 83814-2656 · (208) 667-0585 · Fax (208) 667-0876
Phone(208) 667-0585
Fax(208) 667-0876
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 18, 2013
✔ NPI 1316957202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · M5325
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
700 W IRONWOOD DR, Coeur D Alene, ID 83814
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Other Identifiers 9

Other000010000163ID · Regence Blue Shield
Medicare UPINC36989ID
Medicare ID-Type Unspecified1120047ID
Medicaid000396600ID
Medicaid1040476WA
Other000010000162ID · Regence Blue Shield
OtherDF474ID · Blue Cross Of Idaho
Other53256ID · Blue Cross Of Idaho
Medicaid1316957202MT

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.

DR. THOMAS R RAU MD
Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0585
DR. ROBERT C. FARR M.D.
Otolaryngology
700 W IRONWOOD DR, STE 236
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1345
JAMIE LEE PARK PHARM.D.
Pharmacist
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5688
MANDI NORDHAGEN
Pharmacist (Ambulatory Care)
700 W IRONWOOD DR, SUITE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
TERENCE EARL NEFF MD
Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0585
KOOTENAI AUDIOLOGY, LLC
Audiologist (Assistive Technology Supplier)
700 W IRONWOOD DR, SUITE 236
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1345
KOOTENAI HEALTH, INC.
Pharmacy (Clinic Pharmacy)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
SPOKANE RADIATION ONCOLOGY ASSOCIATES P S
Radiology (Radiation Oncology)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 666-3800

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 Mary Jo Shaw's NPI number?

The NPI number for Mary Jo Shaw is 1316957202. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Mary Jo Shaw located?

Mary Jo Shaw practices at 700 W Ironwood Dr Suite 155, Coeur D Alene, ID 83814. The listed phone number is (208) 667-0585.

What is Mary Jo Shaw's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mary Jo Shaw was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.