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

Jacob Austin Shaw, PARAMEDIC

Individual provider Military Health Care Provider · NPI 1083505481

Jacob Austin Shaw, PARAMEDIC is a Military Health Care Provider in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2025
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Practice location Address checks out

6704 Smithfield Blvd
Indianapolis, IN 46237-9106
Phone: (317) 619-6884
Fax: (317) 619-6884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence M5148988 (IN)

Record details

NPI number1083505481
Entity typeIndividual (Type 1)
GenderMale
Credentials PARAMEDIC
Sole proprietorYes
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

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