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

Melinda M Shaw, PA

Individual provider Physician Assistant · NPI 1619914942

Melinda M Shaw, PA is a Physician Assistant in Syracuse, New York. Qualified in 2002, 24 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

739 Irving Ave Ste 450
Syracuse, NY 13210-1663
Phone: (315) 470-7364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 140 W 6th St Ste Ll30, Oswego, NY 13126-2564 — (315) 349-5511
  • 750 E Adams St, Syracuse, NY 13210-2306 — (315) 464-1800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009177 (NY)

Record details

NPI number1619914942
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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