HAVEN SHAFFER (NPI# 1376158311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376158311 |
| Entity Type | Individual |
| Full Name | HAVEN SHAFFER |
| Practice Address |
4350 Jackson Rd Ste 100 Ann Arbor MI 48103-1889 |
| Mailing Address |
24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 7349719344 |
| Practice Fax Number | 7349712303 |
| Mailing Telephone | 7347476766 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704329812 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4350 JACKSON RD STE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841237336 | Lisa Rachel Markman | Pediatrics | 4350 Jackson Rd Ste 100, Ann Arbor, MI 48103 | 2006-06-01 |
| 1477152494 | Patrick M Gaulier | Social Worker | 4350 Jackson Rd Ste 100, Ann Arbor, MI 48103-1889 | 2020-10-21 |
| 1033473350 | Alyson R Bokshan | Pediatrics | 4350 Jackson Rd Ste 100, Ann Arbor, MI 48103-1889 | 2012-07-02 |
| 1144358151 | Kathaleen Marie Bruce | Social Worker | 4350 Jackson Rd Ste 100, Ann Arbor, MI 48103-1889 | 2007-03-01 |
| 1417004003 | Iha Health Services Corporation | Social Worker | 4350 Jackson Rd Ste 100, Ann Arbor, MI 48103-1889 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477073047 | Ariel Ann Shagena | Nurse Practitioner | 760 W Eisenhower Pkwy Ste 208, Ann Arbor, MI 48103-6196 | 2017-06-23 |
| 1083862924 | Sarah Stewart Leroy | Nurse Practitioner | 3300 Lorraine St, Healthplace101, Ann Arbor, MI 48108-1970 | 2008-09-04 |
| 1588857387 | Yvette White | Nurse Practitioner | 2600 Green Rd, Suite 150a, Ann Arbor, MI 48105-4631 | 2007-08-24 |
| 1801857669 | Karen Ann Kopicko | Nurse Practitioner | 911 Brown St, Ann Arbor, MI 48104-3203 | 2006-03-31 |
| 1831170737 | Jennifer Salerno | Nurse Practitioner | 2800 Stone School Rd, Ann Arbor, MI 48104-7434 | 2005-11-08 |
| 1629690227 | Kelly Sweeney | Nurse Practitioner | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2020-05-18 |
| 1861030439 | Jillian Margaret Johnson | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-12-14 |
| 1598319204 | Julianne Elizabeth Stieber | Nurse Practitioner | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2019-07-31 |
| 1225506017 | Emily Ann Miller | Nurse Practitioner | 1500 East Medical Center Dr, 11th Floor C.s. Mott Children's Hospital Rm 661, Ann Arbor, MI 48109-5204 | 2018-11-09 |
| 1750805024 | Aubree Blumer | Nurse Practitioner | 4200 Whitehall Dr Ste 230, Ann Arbor, MI 48105-9694 | 2017-07-28 |
| Find all providers in ANN ARBOR | ||||
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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.