DR. RICHARD L SHAFFER (NPI# 1780622654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780622654 |
| Entity Type | Individual |
| Full Name | DR. RICHARD L SHAFFER |
| Credential | D.O |
| Practice Address |
10051 5th St N Ste 200 St Petersburg FL 33702-2211 |
| Practice Telephone | 7278240780 |
| Practice Fax Number | 7275686011 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 7275686011 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS5753 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 057781200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972553170 | Richard Lee Shaffer | Family Medicine | 4314 Spring St, Davenport, IA 52807-1111 | 2006-05-11 |
| 1750645388 | Richard Dwight Shaffer | Family Medicine | 180 S 3rd St, Suite 400, Belleville, IL 62220-1952 | 2012-06-28 |
| 1669550703 | Richard Brian Shaffer | Chiropractor | 1510 W 34th St, Suite 203, Austin, TX 78703-1400 | 2006-11-02 |
| 1134158736 | Richard T Shaffer | Internal Medicine | 855 Proton Rd, San Antonio, TX 78258-4203 | 2006-07-03 |
| Street Address |
10051 5TH ST N STE 200 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33702-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960905 | Debra P. Figueroa | Family Medicine | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2005-05-31 |
| 1275186256 | Haylie Rae Frascatore | Nurse Practitioner | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2019-07-19 |
| 1134602766 | Marigene G Hartker | Internal Medicine | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2018-09-10 |
| 1659884294 | Optumcare Florida, LLC | Hospitalist | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2017-11-06 |
| 1922534684 | Christelle T Nguyen | Family Medicine | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2017-05-02 |
| 1457884249 | Geeta Mehan | Family Medicine | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2017-04-07 |
| 1215477161 | Anika Toor | Internal Medicine | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2017-02-26 |
| 1376900100 | Katherine Elizabeth-mae Haynes | Nurse Practitioner | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2016-01-25 |
| 1427422872 | Denise Tatem | Nurse Practitioner | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2015-11-23 |
| 1629498191 | Daphne L Gardner | Nurse Practitioner | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2014-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| Find all providers in zip 33702 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919951 | Rhc St Pete LLC | Family Medicine | 5999 Central Ave Ste 103, St Petersburg, FL 33710-8535 | 2020-10-13 |
| 1306452875 | Ohi West, Inc | Family Medicine | 700 6th St S Fl 3, St Petersburg, FL 33701-4815 | 2020-09-21 |
| 1609489541 | Binsey C Babu | Family Medicine | 8950 Dr Martin Luther King Jr St N Ste 102, St Petersburg, FL 33702-3001 | 2020-08-29 |
| 1588174585 | Elena Borisenko | Family Medicine | 5778 5th Ave N, St Petersburg, FL 33710-7104 | 2017-10-04 |
| 1336667187 | Amar Talati, Do, LLC | Family Medicine | 2901 1st Ave N Ste 301, St Petersburg, FL 33713-8640 | 2017-08-31 |
| 1265954085 | St. Petersburg Primary Care Associates | Family Medicine | 780 4th Ave S, St Petersburg, FL 33701-4412 | 2017-07-13 |
| 1659818102 | Diligent Care LLC | Family Medicine | 6743 14th Ave N, St Petersburg, FL 33710-5405 | 2017-01-23 |
| 1821476458 | Chantel Tenesia Jacobs | Family Medicine | 7751 9th St N, St Petersburg, FL 33702-1102 | 2015-05-15 |
| 1003228131 | Carolina Vac Nelson | Family Medicine | 7751 9th St N Ste 10, St Petersburg, FL 33702-1102 | 2014-05-23 |
| 1700205069 | Carol Thuy Vy Tran | Family Medicine | 6801 4th St N, St Petersburg, FL 33702 | 2014-04-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33702 |
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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.