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

Individual provider Pediatrics Physician · NPI 1023470606

Jessalyn Shaw, MD is a Pediatrics Physician in Worcester, Massachusetts. Works from 2 locations. Licensed in Illinois and Massachusetts.

Licensed in
IL, MA
In the registry since
2016
Specialties on file
5
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 442-6629
Fax: (774) 443-7399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 240 E Huron St, Chicago, IL 60611-2909 — (312) 503-7975

Specialties & licences

Child Abuse Pediatrics Physician (primary) Taxonomy 2080C0008X · Licence 1021425 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 125.068279 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036.148617 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 1021425 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023470606
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing addressPo Box 415348, Boston, MA 02241-5348

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