National Provider Identifier
Jonathan Shaw, PA-C
Jonathan Shaw, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Geneseo, NY and a listed phone number of (585) 335-4285.
Profile Overview
- NPI
- 1922467661
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 22, 2016
- Last Updated
- December 22, 2025
Practice Location
- 50 E South St
- Geneseo, NY 14454-1300
Phone: (585) 335-4285
Mailing Address
- 755 Jefferson RD Ste 110
- Rochester, NY 14623-3270
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1922467661
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Jonathan
- Credential
- PA-C
- Mailing Street Address
- 755 Jefferson RD Ste 110
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-3270
- Mailing Country
- US
- Mailing Phone
- (585) 385-6070
- Practice Street Address
- 50 E South St
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454-1300
- Practice Country
- US
- Practice Phone
- (585) 335-4285
- Enumeration Date
- February 22, 2016
- Last Updated
- December 22, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 3
- 193200000X Multi-Specialty Group
- Certification Date
- December 22, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X), Surgical Physician Assistant (363AS0400X)