Trent E Shaw, PA-C
Trent E Shaw, PA-C is a Physician Assistant in Rexburg, Idaho. Qualified in 2000, 26 years ago. Practices with Mountain View Hospital LLC, a 267-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 26
- Licensed in
- ID
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
72 E Main StRexburg, ID 83440-1926
Phone: (208) 359-1770
Fax: (208) 359-1780
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA-308 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA-308 (ID) |
Record details
| NPI number | 1366488926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 21, 2006 |
| Last updated in NPPES | September 30, 2011 |
| Mailing address | 72 E Main St, Rexburg, ID 83440-1926 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Mountain View Hospital Llc — 267 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Rexburg
-
Mr. Mark S. Hammar, PA-C
37 S 2nd E Ste 202, Rexburg, ID 83440-1906 · (208) 356-0234
-
Greg Lyle Klingler, PA-C
32 W 1st S, Rexburg, ID 83440-1810 · (208) 356-7585
-
Mr. Rex Allen Meredith, PA-C
393 E 2nd N, Rexburg, ID 83440-1605 · (208) 359-6781
-
Mr. Steven Craig Pierce, PA-C
450 E Main St, Rexburg, ID 83440-2048 · (208) 356-3691