BEVERLY M SHAFER (NPI# 1558475467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558475467 |
| Entity Type | Individual |
| Full Name | BEVERLY M SHAFER |
| Credential | MD |
| Practice Address |
900 Cummings Center Suite 112w Beverly MA 01915 |
| Practice Telephone | 9787412611 |
| Practice Fax Number | 9787449433 |
| Mailing Telephone | 9787412611 |
| Mailing Fax Number | 9787449433 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
57782 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD PILGRIM | 21236 | 01 |
| MA | 3022412 | 05 | |
| MA | BLUE CROSS | J06420 | 01 |
| Street Address |
900 CUMMINGS CENTER SUITE 112W |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710953690 | Shahrokh Charles Khani | Ophthalmology | 900 Cummings Center, Suite 303v, Beverly, MA 01915-6181 | 2006-02-28 |
| 1598218778 | Ross Callahan | Counselor | 900 Cummings Center, Suite 324-s, Beverly, MA 01915 | 2016-07-25 |
| 1558597096 | Larissa Ann Calka Gemme | Neuromusculoskeletal Medicine & OMM | 900 Cummings Center, Suite 107t, Beverly, MA 01915 | 2009-06-10 |
| 1811019771 | Kids Health LLC | Pediatrics | 900 Cummings Center, Suite 113 T, Beverly, MA 01915 | 2007-04-04 |
| 1285710905 | John-paul Trautman | Family Medicine | 900 Cummings Center, Suite 107t, Beverly, MA 01915 | 2006-10-27 |
| 1871606038 | Thomas J Mclaughlin | Pediatrics | 900 Cummings Center, Suite 113 T, Beverly, MA 01915 | 2006-08-15 |
| 1194739714 | Natasa Mandic-kuljic | Dentist | 900 Cummings Center, Suite 106t, Beverly, MA 01915 | 2006-07-28 |
| 1861415044 | Helen C Ireland | Family Medicine | 900 Cummings Center, Suite 107t, Beverly, MA 01915 | 2006-07-26 |
| 1205852951 | Bozidar L Kuljic, Dds PC | Dentist | 900 Cummings Center, Suite 106t, Beverly, MA 01915 | 2006-07-14 |
| 1093773608 | Jennifer L Leathe | Pediatrics | 900 Cummings Center, Suite 113t, Beverly, MA 01915 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427436807 | Beverly Shafer, Md, PC | Surgery | 900 Cummings Ctr, Suite 112w, Beverly, MA 01915-6198 | 2015-05-18 |
| 1588759757 | Beverly M. Shafer, Md | Surgery | 900 Cummings Ctr, Suite 112w, Beverly, MA 01915-6198 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
| 1336792498 | Dexterity Hand Surgery, LLC | Surgery | 100 Unicorn Park Dr Ste 102, Woburn, MA 01801-3379 | 2019-07-18 |
| 1528280203 | Plastic Surgery Specialists | Surgery | 332 Washington St., Wellesley, MA 02481 | 2007-05-03 |
| 1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
| 1750423711 | Curtis Ngau | Surgery | 231 Worcester Rd, Framingham, MA 01701-5346 | 2007-02-13 |
| 1821195439 | Richard A Peinert | Surgery | Post Office Square, Lynnfield Medical Build, Lynnfield, MA 01940 | 2006-09-19 |
| 1710095559 | Katherine D Hein Md PC | Surgery | 117 West Central Street, Suite 203, Natick, MA 01760 | 2006-08-29 |
| 1598780363 | Katherine D Hein | Surgery | 117 W Central Street, Suite 203, Natick, MA 01760-4383 | 2006-07-13 |
| 1831138825 | Kenneth A Marshall | Surgery | 204 Worcester St, Wellesley Hills, MA 02481-5420 | 2006-06-05 |
| 1932148939 | Sumner A Slavin | Surgery | 200 Boylston St Ste 307, Chestnut Hill, MA 02467-2008 | 2006-06-05 |
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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.