Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Shaw

Individual provider Case Manager/Care Coordinator · NPI 1922763648

Jerry Shaw is a Case Manager/Care Coordinator in Hyde, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

1208 Hall St
Hyde, PA 16830
Phone: (814) 553-5312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1922763648
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 8, 2021
Last updated in NPPESNovember 8, 2021
Certification dateOctober 20, 2021