DR. KATHY JO SHAFER (NPI# 1750499729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750499729 |
| Entity Type | Individual |
| Full Name | DR. KATHY JO SHAFER |
| Credential | D.M.D. |
| Practice Address |
125 W Columbian Blvd S Pob 434 Litchfield IL 62056-3021 |
| Practice Telephone | 2173242610 |
| Practice Fax Number | 2173242637 |
| Mailing Telephone | 2173242610 |
| Mailing Fax Number | 2173242637 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-021377 | IL | Dental Providers |
| Street Address |
125 W COLUMBIAN BLVD S POB 434 |
| City | LITCHFIELD |
| State | IL |
| Zip Code | 62056-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798958 | Macoupin County Public Health Department | Clinic/Center | 125 W Columbian Blvd S, Litchfield, IL 62056-3021 | 2020-10-20 |
| 1407288830 | Kellen Bosma | Dentist | 125 W Columbian Blvd S, Litchfield, IL 62056-3021 | 2013-08-08 |
| 1457657744 | Litchfield Dental Professionals | Dentist | 125 W Columbian Blvd S, Litchfield, IL 62056-3021 | 2011-02-03 |
| 1972691681 | Mark Alan Belcher | Dentist | 125 W Columbian Blvd S, Litchfield, IL 62056-3021 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940340 | Daniel Bennett | Technician | 1007 N Jefferson St, Litchfield, IL 62056 | 2019-09-06 |
| 1841846888 | Madalyn Leann Rogers | Speech-Language Pathologist | 601 W South St., Litchfield, IL 62056 | 2019-08-15 |
| 1164780185 | Jimmy Dapog | Physical Therapist | 628 Illinois St, Litchfield, IL 62056 | 2012-04-27 |
| 1114139037 | Dental Professionals of Illinois, P.C. | Dentist | 620 West Union, Litchfield, IL 62056 | 2007-05-04 |
| 1558583096 | Affordable Dentistry Today, PC | Dentist | 515 North Monroe, Litchfield, IL 62056 | 2007-05-03 |
| 1104915867 | City of Litchfield | Ambulance | 201 East Edwards, Litchfield Ave Ambulance Service, Litchfield, IL 62056 | 2006-10-12 |
| 1033213020 | Litchfield Oncology Institute Ltd | Radiology | 1201 East Union Avenue, Litchfield, IL 62056 | 2006-09-11 |
| 1891751400 | Andrew Kamp | Physical Therapist | 1510 Old Route 66 North, Litchfield, IL 62056 | 2006-04-22 |
| 1720226442 | Patti S Durbin | Nurse Anesthetist, Certified Registered | 1215 Franciscan Drive, Anesthesia Dept, Litchfield, IL 62056 | 2009-02-03 |
| 1841388840 | Muhammad Ansari | Radiology | 1201 E Union Ave, Litchfield, IL 62056 | 2006-10-11 |
| Find all providers in zip 62056 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114139037 | Dental Professionals of Illinois, P.C. | Dentist | 620 West Union, Litchfield, IL 62056 | 2007-05-04 |
| 1558583096 | Affordable Dentistry Today, PC | Dentist | 515 North Monroe, Litchfield, IL 62056 | 2007-05-03 |
| 1285757070 | Robert Stefanski | Dentist | 515 Marshall Street, Litchfield, MI 49252 | 2007-04-09 |
| 1407993397 | James Dewitt Haugo | Dentist | 715 No Sibley Ave, Litchfield, MN 55355 | 2007-01-31 |
| 1134274848 | James D Haugo Dds Pa | Dentist | 715 N Sibley, Suite 101, Litchfield, MN 55355 | 2007-01-24 |
| 1881746576 | John Paul Simoncelli | Dentist | 34 East Street, Litchfield, CT 06759 | 2007-01-16 |
| 1528136439 | Leif F Engles | Dentist | 1403 W Ferdon St Ste 22, Litchfield, IL 62056-4448 | 2006-11-30 |
| 1952488090 | William F. Fabbri | Dentist | 3 West Street, Litchfield, CT 06759 | 2006-11-01 |
| 1255445284 | Paul Walter Golas | Dentist | 262 Derry Rd, Litchfield, NH 03052-2633 | 2006-08-18 |
| 1124041652 | Robert Jacob Vanwyck | Dentist | 98 West St, Litchfield, CT 06759 | 2006-07-25 |
| Find all providers in LITCHFIELD | ||||
| City | LITCHFIELD |
| Zip Code | 62056 |
Please comment or provide details below to improve the information on DR. KATHY JO SHAFER.
| 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.