DR. BRUCE SHAFFER (NPI# 1407038565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407038565 |
| Entity Type | Organization |
| Organization Name | DR. BRUCE SHAFFER |
| Practice Address |
667 Stoneleigh Ave Suite 111 Carmel NY 10512-2454 |
| Practice Telephone | 8452788637 |
| Practice Fax Number | 8452788695 |
| Mailing Telephone | 8452788637 |
| Mailing Fax Number | 8452788695 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | DR. BRUCE M SHAFFER (PODIATRIST) |
| Authorized Official Telephone | 8452788637 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N2987 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00419452 | 05 |
| Street Address |
667 STONELEIGH AVE SUITE 111 |
| City | CARMEL |
| State | NY |
| Zip Code | 10512-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011368 | Jeffrey M Passick | Specialist | 667 Stoneleigh Ave, Ste 302, Carmel, NY 10512-2454 | 2005-05-31 |
| 1538678487 | Jessica Chantel Olivo | Registered Nurse | 667 Stoneleigh Ave, Carmel, NY 10512-2454 | 2017-09-22 |
| 1609306216 | Sarah Yanosy | Social Worker | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512 | 2017-06-15 |
| 1093244410 | Kenneth M. Wilson | Counselor | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512 | 2017-06-08 |
| 1134669724 | Sabrina Kucherov | Nurse Practitioner | 667 Stoneleigh Ave, Suite 111, Carmel, NY 10512-2454 | 2017-03-01 |
| 1285185603 | Lauren Baird Fiedler | Clinical Neuropsychologist | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 | 2016-10-20 |
| 1710330303 | Jenny Carmona-padilla | Social Worker | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 | 2016-07-19 |
| 1043609662 | Andrew Metz | Social Worker | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 | 2015-01-20 |
| 1205224367 | Cecilia Rembert | Psychologist | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 | 2014-12-24 |
| 1669873709 | Michael Dimeo | Physical Therapist | 667 Stoneleigh Ave, Suite 116, Carmel, NY 10512-2454 | 2014-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706272 | Health Quest Medical Practice, PC | Family Medicine | 150 Route 52-metabolic Program, Carmel, NY 10512 | 2020-10-08 |
| 1487282950 | Daniel Bryan Rush | Student in an Organized Health Care Education/Training Program | Putnam Hospital Center, 660 Stonrlrigh Avenue, Carmel Hamlet, NY 10512 | 2020-03-31 |
| 1083139521 | Colette Mignogna | Physical Therapist | 902 Vista On The Lake, Carmel, NY 10512 | 2017-08-06 |
| 1366965543 | Amanda Marie Santangelo | Speech-Language Pathologist | 281 Daisy Lane, Carmel, NY 10512 | 2017-07-19 |
| 1184146557 | James William Johnson | Licensed Practical Nurse | 25 Beekman Dr, Carmel, NY 10512 | 2017-07-07 |
| 1356702369 | Terry-ann Mclennon | Social Worker | 494 Nimham Rd, Kent Lakes, NY 10512 | 2016-03-18 |
| 1033529698 | Daisy Lee | Dentist | 667 Stoneleigh Ave Ste 301, Carmel, NY 10512 | 2014-05-05 |
| 1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
| 1588901185 | Robyn Weindel | Speech-Language Pathologist | 2506 Kings Way, Carmel, NY 10512 | 2013-01-16 |
| 1447509641 | Rachael Palmer Jones | Registered Nurse | 670 Stoneleigh Ave Ste C-122, Carmel, NY 10512 | 2012-09-04 |
| Find all providers in zip 10512 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1487196630 | Northern Medical Group, Pllc | Podiatrist | 664 Stoneleigh Ave Ste 100, Carmel, NY 10512-3990 | 2016-11-04 |
| 1437458072 | Tina Michelle Perron | Podiatrist | 13295 Illinois St Ste 104, Carmel, IN 46032-3025 | 2011-03-22 |
| 1295953610 | Karen Sue Kiker | Podiatrist | 26135 Carmel Rancho Blvd, Suite 22, Carmel, CA 93923-8716 | 2007-04-23 |
| 1306928353 | William F Keyes | Podiatrist | 2000 E 116th Street, Suite 103, Carmel, IN 46032-3581 | 2006-10-19 |
| 1861499782 | Michele Kraft | Podiatrist | 26615 Carmel Center Pl Ste 103, Carmel, CA 93923-8654 | 2005-07-07 |
| 1225643992 | American Health Network of Kentucky, LLC | Podiatrist | 10689 N Pennsylvania St Ste 200, Carmel, IN 46280-1099 | 2020-09-10 |
| 1649805136 | Health Quest Medical Practice, PC | Podiatrist | 150 Route 52, Carmel, NY 10512-1200 | 2020-03-05 |
| 1104382704 | Health Quest Medcial Practice, PC | Podiatrist | 664 Stoneleigh Ave Ste 100, Carmel, NY 10512-3990 | 2019-02-19 |
| 1902338320 | Tyler Daniel Mckee | Podiatrist | 12188b N Meridian St Ste 330, Carmel, IN 46032-4900 | 2017-04-03 |
| Find all providers in CARMEL | ||||
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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.