MICHAEL D SHAFFER (NPI# 1417949983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417949983 |
| Entity Type | Individual |
| Full Name | MICHAEL D SHAFFER |
| Credential | DO |
| Practice Address |
2202 Us Highway 380 Ste 112 Bridgeport TX 76426-2177 |
| Mailing Address |
Po Box 2078 Decatur TX 76234-6156 |
| Practice Telephone | 9406830347 |
| Practice Fax Number | 9406833804 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2019-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L6627 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 34-009337 | OH | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
L6627 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200036040A | 05 | |
| TX | BCBS | 8FE660 | 01 |
| TX | HMO BLUE | 8M0733 | 01 |
| TX | 139450100 | 05 | |
| TX | 167598508 | 05 | |
| OH | 2839254 | 05 | |
| NM | PRESBYTERIAN COMMERCIAL | 90049 | 01 |
| TX | FIRSTCARE COMMERCIAL | 139450101 | 01 |
| NM | 90049 | 05 | |
| TX | BCBSTX - WCCA | 8JE232 | 01 |
| TX | 167598506 | 05 | |
| NM | 19229861 | 05 | |
| TX | RAILROAD MEDICARE | P01527361 | 01 |
| TX | 167598501 | 05 | |
| TX | BCBS | 8M6326 | 01 |
| NM | TRIWEST | A030 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 609 Medical Center Dr Bldg 200, Decatur, TX 762343866 | 9406272708 | 9403930510 |
| 2100 Sadau Ct, Denton, TX 762104942 | 9403874760 | 9403874738 |
| 7210 Crawford Rd, Argyle, TX 762262579 | 9402932969 | 9402932968 |
| 1301 S. Bonnie Brae, Denton, TX 76207 | 9405393132 | 9403930511 |
| 3124 N Tarrant Pkwy Ste 200, Fort Worth, TX 761778618 | 8175027400 | 8175027403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740654318 | Michael Shaffer | Student in an Organized Health Care Education/Training Program | 5109 N 49th St, Ruston, WA 98407-3024 | 2015-11-19 |
| 1255641320 | Michael C Shaffer | Chiropractor | 28 Park Row, Chatham, NY 12037-1210 | 2010-10-07 |
| 1811154909 | Michael Shaffer | Family Medicine | 17853 State Route 31 Ste B, Marysville, OH 43040-8835 | 2008-05-17 |
| 1558473611 | Michael H Shaffer | Social Worker | 5431 W Hillsdale, Visalia, CA 93291 | 2006-08-31 |
| 1275599896 | Michael C Shaffer | Chiropractor | 2663 Airport Rd S, Ste D104, Naples, FL 34112-4875 | 2006-04-22 |
| 1174142780 | Michael Shaffer | Physical Therapist | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2020-04-14 |
| 1043579857 | Michael J Shaffer | Dentist | 1469 Merrick Ave, Merrick, NY 11566-1602 | 2012-05-14 |
| 1598075277 | Michael P Shaffer | Perfusionist | 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 | 2010-10-15 |
| 1619926615 | Michael Wayne Shaffer | Counselor | 1700 E 38th St, Marion, IN 46953-4568 | 2006-05-08 |
| Street Address |
2202 US HIGHWAY 380 STE 112 |
| City | BRIDGEPORT |
| State | TX |
| Zip Code | 76426-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679719801 | Wise Clinical Care Associates | Clinic/Center | 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426-2177 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169613 | Victor Esmeraldo | Dentist | 1808 Chico Hwy, Bridgeport, TX 76426 | 2015-07-10 |
| 1376941013 | K&h Dental Pa | Clinic/Center | 1808 Chico Highway, Bridgeport, TX 76426 | 2014-12-11 |
| 1710252572 | Jonathon Stanley Scarborough | Nurse Anesthetist, Certified Registered | 1509 Dr. Hospital Drive, Bridgeport, TX 76426 | 2012-03-13 |
| 1124153010 | Christopher Aaron Hicks | Physical Therapist | 707 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 | 2007-02-22 |
| 1578636411 | 34hha, Inc | Home Health | 401 Center Ct., Bridgeport, TX 76426 | 2006-11-16 |
| 1295777902 | West 380 Nursing Center | Assisted Living Facility | 2108 15th St, Bridgeport, TX 76426 | 2006-06-10 |
| 1780810234 | Scc Partners Inc | Skilled Nursing Facility | 2108 15th St, Bridgeport, TX 76426 | 2009-06-10 |
| 1477175628 | Noemi Araceli Meza | Non-emergency Medical Transport (VAN) | 1006 Newby Ave, Bridgeport, TX 76426-2030 | 2020-05-11 |
| 1992013692 | Bridgeport Isd | Local Education Agency (LEA) | 2107 15th St, Bridgeport, TX 76426-2052 | 2010-09-16 |
| 1952853194 | City of Ennis | Skilled Nursing Facility | 2108 15th St, Bridgeport, TX 76426-2055 | 2016-11-03 |
| Find all providers in zip 76426 | ||||
| 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. |
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| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1013395755 | Clinisanitas, PC | Family Medicine | 4543 Main St, Bridgeport, CT 06606-1818 | 2015-05-14 |
| 1982941431 | Razia Sultana Hashmi | Family Medicine | 115 Highland Ave, Bridgeport, CT 06604-3549 | 2013-01-03 |
| 1508025594 | Awais Malik | Family Medicine | 754 Clinton Ave, Bridgeport, CT 06604-2301 | 2008-06-04 |
| 1508062423 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 615 Kendall Ave, Bridgeport, AL 35740 | 2007-06-26 |
| 1760505887 | Vinai Montricul | Family Medicine | 47910 Al Highway 277, Bridgeport, AL 35740-7206 | 2007-04-06 |
| 1942341060 | Zijad Sabovic | Family Medicine | 3000 Park Ave, Bridgeport, CT 06604-1105 | 2007-02-09 |
| 1538207295 | Bridgeport Family Health LLC | Family Medicine | 1381 Reservoir Avenue, Bridgeport, CT 06606-2502 | 2007-02-02 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 76426 |
Please comment or provide details below to improve the information on MICHAEL D SHAFFER.
| 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.