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

Jeremiah J Shaw, MD

Individual provider Family Medicine Physician · NPI 1619439403

Jeremiah J Shaw, MD is a Family Practice in Monona, Wisconsin. Graduated from Ohio State University College of Medicine in 2019, 7 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Trained at
Ohio State University College of Medicine
Licensed in
WI
In the registry since
2019
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

1050 E Broadway
Monona, WI 53716-4023
Phone: (608) 287-5899
Fax: (608) 251-2332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 621 Science Dr, Madison, WI 53711-1074 — (608) 262-9355
  • 1102 S Park St, Madison, WI 53715-1708 — (608) 263-3111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 74863-20 (WI)

Record details

NPI number1619439403
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2019
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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