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

Evan William Shaw

Individual provider Emergency Medicine Physician · NPI 1295364370

Evan William Shaw is an Emergency Medicine in Buffalo, New York. Graduated from State University of New York at Buffalo School of Medicine in 2020, 6 years ago. Practices with University Emergency Medical Services Inc, a 91-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

77 Goodell St Ste 340
Buffalo, NY 14203-1243
Phone: (716) 645-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 322620 (NY)

Record details

NPI number1295364370
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address77 Goodell St Ste 340, Buffalo, NY 14203-1243

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Emergency Medical Services Inc. — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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