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

Individual provider Emergency Medicine Physician · NPI 1497775787

Michael Jonathan Shaw, MD is an Emergency Medicine Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

4900 Broad Rd
Syracuse, NY 13215-2265
Phone: (315) 492-5535
Fax: (315) 492-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 137054-2 (NY)

Record details

NPI number1497775787
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESMay 11, 2010
Mailing address4900 Broad Rd, Syracuse, NY 13215-2265

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