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

Ryan C Shaw, PA

Individual provider Physician Assistant · NPI 1609049212

Ryan C Shaw, PA is a Physician Assistant in Norfolk, Virginia. Qualified in 2008, 18 years ago. Practices with Sentara Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
18
Licensed in
VA
In the registry since
2008
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

850 Kempsville Rd Ste 212
Norfolk, VA 23502-3920
Phone: (757) 261-5977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002808 (VA)

Record details

NPI number1609049212
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 4, 2008
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023
Mailing address850 Kempsville Rd Ste 212, Norfolk, VA 23502-3920

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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