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

Jeffrey L Shaw, MD

Individual provider Allergy & Immunology Physician · NPI 1124083712

Jeffrey L Shaw, MD is an Allergy/Immunology in Green Bay, Wisconsin. Qualified in 1997, 29 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in Wisconsin and West Virginia.

Years since qualifying
29
Licensed in
WI, WV
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1821 S Webster Ave
Green Bay, WI 54301
Phone: (920) 496-4700
Fax: (920) 431-1914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 42113-020 (WI)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 20844 (WV)
Pediatrics Physician Taxonomy 208000000X · Licence 20884 (WV)

Record details

NPI number1124083712
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2006
Last updated in NPPESJanuary 12, 2017
Mailing addressPo Box 19070, Green Bay, WI 54307-9070

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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