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

Amanda Jo Shaw, PA

Individual provider Physician Assistant · NPI 1194074815

Amanda Jo Shaw, PA is a Physician Assistant in Wailuku, Hawaii. Qualified in 2012, 14 years ago. Practices with Maui Medical Group Inc, a 69-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Hawaii and Tennessee.

Years since qualifying
14
Licensed in
HI, TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2180 Main St
Wailuku, HI 96793-1625
Phone: (808) 242-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1370 Gateway Blvd Ste 100, Murfreesboro, TN 37129-2590 — (615) 848-9265

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD-794 (HI)
Physician Assistant Taxonomy 363A00000X (TN)

Record details

NPI number1194074815
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 10, 2012
Last updated in NPPESMarch 27, 2018
Mailing address2180 Main St, Wailuku, HI 96793-1625

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Maui Medical Group Inc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wailuku