Michael Ed Shaw

Physician Assistant · Berlin, VT

Individual Active NPI

NPI number 1861969412

Practice location

130 Fisher Rd Unit 1
Berlin, VT 05602-8132

Phone: (802) 371-4264

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NPI record

NPI: 1861969412
Entity type: Individual (Type 1)
Enumeration date: October 31, 2018
Last updated: July 22, 2025
Certified: July 11, 2025
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Physician Assistant Primary	`363A00000X`	055.0031417	VT
Student in an Organized Health Care Education/Training Program	`390200000X`	—	—

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473

Phone: (802) 847-0000

Other practice locations (4)

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

About Michael Shaw

Michael Ed Shaw is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 130 Fisher Rd Unit 1, Berlin, VT 05602-8132. The NPI number 1861969412 was assigned on October 31, 2018 and the record was last updated on July 22, 2025.

Michael Shaw lists a license in the registry: #055.0031417 (VT) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Ed Shaw?

The NPI number is 1861969412.

What is the phone number of Michael Shaw?

The phone number listed for the practice location is (802) 371-4264.

Where is Michael Shaw located?

130 Fisher Rd Unit 1, Berlin, VT 05602-8132.

What is the taxonomy code for Michael Shaw?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Berlin

Dominic Carroll Ayer, M.S. PA-C1311 Barre-Montpelier Road
Jacqueline Gallagher, PA130 Fisher Rd
Robert R. Davidson, PA-C130 Fisher Rd
Kristen Kivlen, PA-C130 Fisher Rd
Todd Morgan, PA1311 Barre- Montpelier Rd
Christopher John Aubin, PA-C130 Fisher Rd Unit 1
Sean C. O'Brien, PA1311 Barre-Montpelier Rd
Irene Chamberlain, PA1311 Barre-Montpelier Road, Suite 200
Patricia M. Gavula, PA130 Fisher Rd
Aimee Nazebeh Ahari, PA-C130 Fisher Rd
Justine Gadd, PA246 Granger Rd
Rosanna J. Woodard, PA-C1311 Barre-Montpelier Rd

All Physician Assistant providers in Berlin, VT →