| Mitchell Shaw, RD | |
|
221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | |
| (616) 267-8950 | |
| Not Available |
| Full Name | Mitchell Shaw |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 10 Years |
| Location | 221 Michigan St Ne Ste 200, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831933233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86090112 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Health Primary Care Partners | 4587568647 | 2283 |
| Provider Name | Spectrum Health Primary Care Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Shaw, RD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: Not Available | Mitchell Shaw, RD 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 Ph: (616) 267-8950 |
Janet Dominowski, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-267-8950 Fax: 616-267-8585 |
Erika S Geile, DIETICIAN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-752-6235 Fax: 616-752-6324 |
Megan Nicole Hannon, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 Phone: 616-486-9830 |
Rose Britt, RDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8156 |
Krista M Gast, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 435 Ionia Ave Sw Ste A210, Grand Rapids, MI 49503 Phone: 616-486-0385 |
Amy Robinson-defouw, MA, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 |
Allison Willett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Lafayette Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5003 |