Individual provider · Type 1 NPI

Michael Ed Shaw

Physician Assistant · Berlin, VT

NPI number 1861969412 Active

Practice location

130 Fisher Rd Unit 1
Berlin, VT 05602-8132

Call (802) 371-4264 Map

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473

Other practice locations

  • 115 Porter Dr, Middlebury, VT 05753-8629 · (802) 388-4430
  • 98 Lakeview Ter # 2, Burlington, VT 05401-2930 · (802) 343-1377
  • 1311 Barre-Montpelier Road, Suite 200, Berlin, VT 05602 · (802) 671-4239
  • 111 Colchester Ave, Burlington, VT 05401-1473 · (802) 847-0000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X055.0031417 (VT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1861969412

Michael Ed Shaw's National Provider Identifier is 1861969412, issued on Oct 31, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Berlin, VT. The record was last updated on Jul 22, 2025.