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

Phillip Andrew Shaw, DPM

Individual provider Sports Medicine Podiatrist · NPI 1447593256

Phillip Andrew Shaw, DPM is a Podiatry in Everett, Washington. Graduated from California School of Podiatric Medicine in 2013, 13 years ago. Practices with Western Washington Medical Group Inc Ps, a 112-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Trained at
California School of Podiatric Medicine
Licensed in
WA
In the registry since
2013
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3802 Broadway Ste B
Everett, WA 98201-5032
Phone: (425) 259-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine Podiatrist (primary) Taxonomy 213ES0000X · Licence PO60640602 (WA)

Record details

NPI number1447593256
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 29, 2013
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Western Washington Medical Group Inc Ps — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount