Thomas R Shaw, MD - Pediatrics in Grand Rapids, MI

Thomas R Shaw, MD is a Pediatrics - Neonatal-perinatal Medicine physician based in Grand Rapids, Michigan. Thomas R Shaw is licensed to practice in Michigan (license number 4301044306) and his current practice location is 100 Michigan St Ne, Mc 109 Attn Julie L, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at (616) 391-1714.

NPI number for Thomas R Shaw is 1043285489 and his current mailing address is 100 Michigan St Ne, Grand Rapids, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043285489.

Contact Information

Thomas R Shaw, MD
100 Michigan St Ne, Mc 109 Attn Julie L,
Grand Rapids, MI 49503-2560
(616) 391-1714
Not Available

Map and Direction




Physician's Profile

Full NameThomas R Shaw
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043285489
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 07/28/2008

Medical Identifiers

Medical identifiers for Thomas R Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043285489NPI-NPPES
3504126341OtherMIBCBS
1558407189OtherMIGROUP NPI
1677700MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 4301044306 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas R Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas R Shaw, MD
100 Michigan St Ne,
Grand Rapids, MI 49503-2560

Ph: () -
Thomas R Shaw, MD
100 Michigan St Ne, Mc 109 Attn Julie L,
Grand Rapids, MI 49503-2560

Ph: (616) 391-1714

Reviews and Comments


Pediatrics Doctors in Grand Rapids, MI

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Phone: 616-949-4465    Fax: 616-949-6191

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