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

Shaw J Mahre, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053050237

Shaw J Mahre, PA-C is a Physician Assistant in Chandler, Arizona. Qualified in 2022, 4 years ago. Practices with Ironwood Physicians PC, a 115-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1455 W Chandler Blvd Bldg B #8
Chandler, AZ 85224-6177
Phone: (480) 899-1696
Fax: (480) 963-6227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9315 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053050237
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 3, 2022
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ironwood Physicians Pc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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