NPI age
19 years
Enumerated 2006-08-09
● Active
Type 1 · Individual
DR. Mary Jo Shaw, MD
Shaw is 1 of 15 pediatrics providers in Coeur D Alene and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
700 W Ironwood Dr, Suite 155
Coeur D Alene, ID 838142656
Mailing address
700 W Ironwood Dr, Suite 155
Coeur D Alene, ID 838142656
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010000163 | REGENCE BLUE SHIELD |
| 05 (WA) | 1040476 | |
| 01 (ID) | 000010000162 | REGENCE BLUE SHIELD |
| 05 (MT) | 1316957202 | |
| 01 (ID) | DF474 | BLUE CROSS OF IDAHO |
| 05 (ID) | 000396600 | |
| 01 (ID) | 53256 | BLUE CROSS OF IDAHO |
Practice context
Part of a multi-provider practice. 65 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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