CHAD R SHAFFER (NPI# 1215014501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215014501 |
| Entity Type | Individual |
| Full Name | CHAD R SHAFFER |
| Credential | MD |
| Practice Address |
3615 State Route 28 and 66 New Bethlehem PA 16242-8107 |
| Mailing Address |
Po Box 579 Kittanning PA 16201-0579 |
| Practice Telephone | 8142752264 |
| Practice Fax Number | 8146907875 |
| Mailing Telephone | 7245438164 |
| Mailing Fax Number | 7245438616 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD425669 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1013999380001 | 05 | |
| PA | PA BLUE SHIELD | SH1746844 | 01 |
| PA | PA STATE LICENSE NUMBER | MD425669 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851355036 | Chad P Shaffer | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2006-04-14 |
| Street Address |
3615 STATE ROUTE 28 AND 66 |
| City | NEW BETHLEHEM |
| State | PA |
| Zip Code | 16242-8107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003986597 | Acmh Physician Services | Family Medicine | 3615 State Route 28 and 66, New Bethlehem, PA 16242-8107 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841463106 | Lori L Wills Gray | Nurse Practitioner | 3615 Route 28/66, New Bethlehem, PA 16242 | 2008-04-08 |
| 1922023886 | Clarion Development Corporation | Pharmacy | 332 Broad St, New Bethlehem, PA 16242 | 2006-07-13 |
| 1235192238 | Joseph Todd Bish | Chiropractor | 220 Broad St, New Bethlehem, PA 16242-1002 | 2006-04-10 |
| 1306827746 | Caruso Drug Store Inc | Pharmacy | 323 Broad St, New Bethlehem, PA 16242-1003 | 2005-11-11 |
| 1104302975 | Deanne Joan Wieszczyk | Pharmacist | 332 Broad St, New Bethlehem, PA 16242-1004 | 2018-07-16 |
| 1659544237 | Klingensmith Drug Inc | Pharmacy | 332 Broad St, New Bethlehem, PA 16242-1004 | 2008-04-04 |
| 1629424361 | The Spero Group, LLC | Social Worker | 225 Water St, New Bethlehem, PA 16242-1005 | 2016-05-12 |
| 1639167869 | Thomas Keith Kaminsky | Dentist | 422 Broad St, New Bethlehem, PA 16242-1103 | 2005-10-12 |
| 1104116854 | Lewis Balla | Pharmacist | 610 Broad St, New Bethlehem, PA 16242-1106 | 2011-04-14 |
| 1619066362 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 610 Broad Street, New Bethlehem, PA 16242-1106 | 2006-10-12 |
| Find all providers in zip 16242 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003986597 | Acmh Physician Services | Family Medicine | 3615 State Route 28 and 66, New Bethlehem, PA 16242-8107 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | NEW BETHLEHEM |
| Zip Code | 16242 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.