Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abigail Park Lee Shaw, PA-C

Individual provider Physician Assistant · NPI 1770213670

Abigail Park Lee Shaw, PA-C is a Physician Assistant in Vienna, Virginia. Graduated from George Washington University School of Medicine in 2022, 4 years ago. Practices with Advanced Dermatology of Virginia Inc, a 26-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Trained at
George Washington University School of Medicine
Licensed in
VA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8301 Old Courthouse Rd
Vienna, VA 22182-3804
Phone: (703) 442-0300
Fax: (703) 442-0337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1140 Connecticut Ave Nw Ste 675, Washington, DC 20036-4022 — (202) 737-6800
  • 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744 — (703) 648-2488

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008855 (VA)

Record details

NPI number1770213670
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Advanced Dermatology Of Virginia Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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