IndividualActive
Michael Shaw
NPI 1063499663 · Gastroenterology Physician · St Louis Park, MN
Michael Shaw is a Gastroenterology Physician provider in St Louis Park, MN (NPI 1063499663).
Provider details
- NPI number
- 1063499663
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 25905 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3800 Park Nicollet Blvd
Park Nicollet Clinic - Gastro
St Louis Park, MN 55416-2527
Phone: (952) 993-3240
Fax: (952) 993-1865
Street-level locationGet directions
Mailing address
6465 Wayzata Blvd
St Louis Park, MN 55426-1728
Registry dates
- Enumerated
- 2005-12-27
- Last updated
- 2012-07-06
Frequently asked questions
- What is Michael Shaw's NPI number?
- Michael Shaw's National Provider Identifier (NPI) is 1063499663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Shaw's specialty?
- Michael Shaw is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Shaw located?
- Michael Shaw's practice location on file with NPPES is 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527.
- What is Michael Shaw's phone number?
- The practice phone number listed in the NPPES registry for Michael Shaw is (952) 993-3240.
- Is Michael Shaw's NPI active?
- Yes — Michael Shaw's NPI (1063499663) is active in the NPPES registry as of the last update on 2012-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.