Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jeffrey L Shaw, MD

Allergy & Immunology Physician in Green Bay, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124083712

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Registry record

Entity type Individual (Type 1)

Name Jeffrey L Shaw

Credential MD

Sex Male

Practice address 1821 S Webster Ave, Green Bay, WI, 54301

Phone (920) 496-4700

Fax (920) 431-1914

Enumeration date Apr 18, 2006

Last updated in NPPES Jan 12, 2017

Taxonomy & licenses

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians · License 20844 (WV) Secondary

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians · License 42113-020 (WI) Primary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 20884 (WV) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
2324505	Medicaid	OH	-
1840670000	Medicaid	WV	-
64049158	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jeffrey Shaw's NPI record?

Cross-check NPI 1124083712 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1124083712 active?

Yes, as of the latest NPPES snapshot, NPI 1124083712 is active (record last updated 2017-01-12).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-12.