OrganizationActive
Gary H. Shaw, M.D., P.C.
NPI 1245429281 · Nephrology Physician · Petoskey, MI
Provider details
- NPI number
- 1245429281
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Shaw, President(231) 487-2100
- License
- 4301045389 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
560 W Mitchell St
Ste 505
Petoskey, MI 49770-2275
Phone: (231) 487-2100
Fax: (231) 487-6049
Street-level locationGet directions
Mailing address
560 W Mitchell St
Petoskey, MI 49770-2275
Registry dates
- Enumerated
- 2007-10-16
- Last updated
- 2009-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.