KELLEY SHAFFER


Address: 3220 Parkwood Blvd, Frisco, TX 75034-1917
Phone: 9726683990

KELLEY SHAFFER (NPI# 1538782677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538782677
Entity Type Individual
Full Name KELLEY SHAFFER
Credential PA-C
Practice Address 3220 Parkwood Blvd
Frisco
TX 75034-1917
Practice Telephone 9726683990
Mailing Telephone 9726683990
Enumeration Date 2020-05-23
Last Update Date 2020-05-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DEA REGISTRATION NUMBER MS5880112 01
TX PHYSICIAN ASSISTANT LICENSE PA13393 01

Office Location

Street Address 3220 PARKWOOD BLVD
City FRISCO
State TX
Zip Code 75034-1917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780670315 Obiora M Ekweani Internal Medicine 3220 Parkwood Blvd, Frisco, TX 75034 2005-09-20
1093323164 Haylee Elizabeth Hughes Physician Assistant 3220 Parkwood Blvd, Frisco, TX 75034-1917 2020-07-15
1568865434 Meagan Duncan Physician Assistant 3220 Parkwood Blvd, Frisco, TX 75034-1917 2014-10-06
1730523580 Stonebriar Pharmacy Pharmacy 3220 Parkwood Blvd, Frisco, TX 75034-1917 2013-04-24
1013031095 Obiora M Ekweani Md, Pa Clinic/Center 3220 Parkwood Blvd, Frisco, TX 75034 2007-03-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689275463 Chiroconcepts of Frisco North Pllc Chiropractor 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 2020-11-06
1790394625 Lindsey Wertheim Nurse Practitioner 4325 Preston Rd, #300, Frisco, TX 75034 2020-07-27
1154948198 Walker Plastic Surgery Pllc Surgery 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 2020-06-25
1700425055 Goldfish Group Inc. Clinic/Center 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 2020-01-04
1255979506 Livelife LLC Clinic/Center 8668 John Hickman Parkway, Frisco, TX 75034 2019-12-17
1215581780 Magnolia Pediatrics Pediatrics 2875 Main St. Suite 104, Frisco, TX 75034 2019-08-01
1811555386 Alexis Deann Rickey Speech-Language Pathologist 4300 Cotton Gin Road, Frisco, TX 75034 2019-05-30
1316500952 Jtma Inc Pharmacy 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 2019-04-18
1194388173 Amplify Chiropractic, Pllc Chiropractor 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 2019-04-16
1740742030 Princy Kurian Occupational Therapist Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 2019-04-04
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730638552 Lindsay Svehla Physician Assistant 11560 Teel Pkwy # 100, Frisco, TX 75033-4430 2016-09-22
1750643821 Natalia Watts Physician Assistant 4461 Coit Rd Ste 100, Frisco, TX 75035-0522 2012-06-13
1477782761 Lauren Davis Stewart Physician Assistant 8600 Gaylord Pkwy Ste 1, Frisco, TX 75034-8575 2009-07-07
1144425612 Gabriel Raymond Nanagas Physician Assistant 3211 Preston Rd Ste 5, Frisco, TX 75034-9020 2007-06-15
1770664690 Marion E Bauer Physician Assistant 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 2006-10-18
1225699986 Natalie Hammond Physician Assistant 1350 Main St, Frisco, TX 75033-4348 2019-06-24
1669941498 Ashley Rios Physician Assistant 4461 Coit Rd Ste 307, Frisco, TX 75035-0525 2018-11-22
1073035812 Adrianne Bailey Physician Assistant 7000 Parkwood Blvd Ste F100, Frisco, TX 75034-7407 2017-07-13
1679927511 Brittany Dixon Physician Assistant 5575 Warren Pkwy, Suite #104, Frisco, TX 75034-4062 2016-04-18
1699172734 Nhung Lao-mai Physician Assistant 3550 Parkwood Blvd, Frisco, TX 75034-1903 2014-12-03
Find all providers in FRISCO

Competitor

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City FRISCO
Zip Code 75034

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Dataset Information

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.

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