National Provider Identifier

Andrew David Shaw, DO

Andrew David Shaw, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Webster, NY and a listed phone number of (585) 758-0750.

NPI 1114487170Webster, NYFamily Medicine Physician

Profile Overview

NPI
1114487170
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
March 24, 2019
Last Updated
June 06, 2024

Practice Location

  • 55 Barrett Dr Ste 100
  • Webster, NY 14580-4516

Phone: (585) 758-0750

Specialties

  • Family Medicine Physician (207Q00000X)
  • Internal Medicine Physician (207R00000X)
  • Pediatrics Physician (208000000X)

Endpoints

  • ashaw288161@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1114487170
Entity Type
Individual
Last Name
Shaw
First Name
Andrew
Middle Name
David
Credential
DO
Mailing Street Address
55 Barrett Dr Ste 100
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-4516
Mailing Country
US
Mailing Phone
(585) 758-0750
Mailing Fax
(585) 872-0876
Practice Street Address
55 Barrett Dr Ste 100
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-4516
Practice Country
US
Practice Phone
(585) 758-0750
Enumeration Date
March 24, 2019
Last Updated
June 06, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
June 06, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Internal Medicine Physician (207R00000X), Pediatrics Physician (208000000X)