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

Melody Shaw, PA

Individual provider Medical Physician Assistant · NPI 1700905601

Melody Shaw, PA is a Physician Assistant in Detroit, Michigan. Qualified in 2006, 20 years ago. Practices with Usacs Observation Medicine Services of Oklahoma, LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2007
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

3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-8040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601004921 (MI)

Record details

NPI number1700905601
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 29, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Usacs Observation Medicine Services Of Oklahoma, Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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