P Praxis·MD
● Active Type 1 · Individual

Rebecca D Shaw, CFA

Surgery·Meridian, ID· NPI 1275772667 · Enumerated 2009 · 17 years on NPI
Shaw is 1 of 5 surgery providers in Meridian and 1 of 24 in Idaho.
NPI age
17 years
Enumerated 2009-02-09
Primary specialty
Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-02-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 24 active surgery providers in Idaho.

NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-02Enumerated in NPPES
2009 2026

Where they practice

Practice location
3630 E Louise Dr
Meridian, ID 836427975
📞 2083779515
Mailing address
3630 E Louise Dr
Meridian, ID 836427975
📞 2083779515

Specialties

  • Surgery Primary
    A surgeon who specializes in plastic and reconstructive surgery.
    ID license #M-8189 taxonomy 2086S0122X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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