DR. CHARLES STEPHEN SHAFFER (NPI# 1235450982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235450982 |
| Entity Type | Individual |
| Full Name | DR. CHARLES STEPHEN SHAFFER |
| Credential | M.D. |
| Practice Address |
1027 Washington Ave Detroit Lakes MN 56501 |
| Mailing Address |
400 E 3rd St Duluth MN 55805-1951 |
| Practice Telephone | 2188475611 |
| Mailing Telephone | 2187863146 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 60110 | MN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 60110 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE LICENSE | 60110 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275048613 | Charles Shaffer | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2017-12-07 |
| 1487009486 | Charles Wintour Shaffer | Psychiatry & Neurology | 525 E 68th St, Box 140, New York, NY 10065-4870 | 2016-04-27 |
| 1376572248 | Charles E Shaffer | Emergency Medicine | 565 Radio Hill Rd, Marion, VA 24354-6587 | 2006-07-02 |
| Street Address |
1027 WASHINGTON AVE |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063414084 | Janell Kjos | Nurse Practitioner | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2005-08-10 |
| 1962003277 | Mary C Wiczek | Nurse Practitioner | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-11-03 |
| 1760096481 | Nikki Lynn Oliver | Nurse Practitioner | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-09-01 |
| 1215548680 | Sherri L Softing | Dietitian, Registered | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-08-11 |
| 1841817384 | Rachel D Karlson | Nurse Practitioner | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-07-01 |
| 1063037489 | Caitlin Ann Kumpula | Registered Nurse | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-06-11 |
| 1225662695 | Rebecca D Peterson | Hospitalist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-02-25 |
| 1548893183 | Katherine A Starbeck | Nurse Practitioner | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-02-21 |
| 1548819519 | Taylor Jones Thooft | Pharmacist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2019-09-11 |
| 1437717618 | Connor J Camrud | Physical Therapist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2019-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346413291 | Tammy Jo Olson | Hospitalist | Essentia Health St. Mary's Detroit Lakes Hospital, 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2008-04-10 |
| 1225662695 | Rebecca D Peterson | Hospitalist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-02-25 |
| 1225443278 | Jaime Jose Verano Chavez | Hospitalist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2014-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
| 1710270665 | Ryan James Greiner | Hospitalist | 1812 Clinton Ave Apt 102, Minneapolis, MN 55404-2466 | 2011-05-25 |
| 1831326446 | Shirlee Xiaoping Xie | Hospitalist | 701 Park Ave South - Dept of Medicine, Hennepin County Medical Center, Minneapolis, MN 55415 | 2009-06-22 |
| 1821239161 | Andrew George Keenan | Hospitalist | Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2009-03-17 |
| 1497947345 | Saroj Shrestha | Hospitalist | 5 Crown Hill Ln, Mankato, MN 56001-4986 | 2007-08-14 |
| 1689200578 | St. Luke's Hospital of Duluth | Hospitalist | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-23 |
| 1427543735 | Becky Randall | Hospitalist | 1406 6th Ave N, St. Cloud, MN 56303-1901 | 2018-06-28 |
| 1396269288 | Erin Lynn Weier | Hospitalist | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2017-08-01 |
| 1790205540 | Michael M Ritchie | Hospitalist | 400 E 3rd St, Duluth, MN 55805-1951 | 2017-06-22 |
| 1932637899 | Mindi Lu Kvaal Anderson | Hospitalist | 400 E 3rd St, Duluth, MN 55805-1951 | 2017-05-23 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
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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.