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

Michael ED Shaw

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861969412

Michael ED Shaw is a Student in an Organized Health Care Education/Training Program in Berlin, Vermont. Works from 5 locations. Licensed in Vermont.

Licensed in
VT
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone: (802) 371-4264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1311 Barre-Montpelier Road, Berlin, VT 05602 — (802) 671-4239
  • 98 Lakeview Ter # 2, Burlington, VT 05401-2930 — (802) 343-1377
  • 111 Colchester Ave, Burlington, VT 05401-1473 — (802) 847-0000
  • 115 Porter Dr, Middlebury, VT 05753-8629 — (802) 388-4430

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 055.0031417 (VT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861969412
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 31, 2018
Last updated in NPPESJuly 22, 2025
Certification dateJuly 11, 2025
Mailing address111 Colchester Ave, Burlington, VT 05401-1473

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