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

Jordan T Shaw, MD

Individual provider Orthopaedic Surgery Physician · NPI 1710373139

Jordan T Shaw, MD is an Orthopedic Surgery in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Practices with Mission Health Community Multispecialty Providers LLC, a 598-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
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

1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone: (616) 459-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301501177 (MI)

Record details

NPI number1710373139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2015
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mission Health Community Multispecialty Providers Llc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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