DR. JAMES P SHAFFER (NPI# 1801859368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801859368 |
| Entity Type | Individual |
| Full Name | DR. JAMES P SHAFFER |
| Credential | MD |
| Practice Address |
8725 N Wickham Rd Suite 302 Melbourne FL 32940-2239 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214349563 |
| Practice Fax Number | 3214349231 |
| Mailing Telephone | 3214349563 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME79932 | FL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME79932 | FL | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
ME79932 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | 49787W | 01 |
| FL | 259073500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811312 | James Christopher Shaffer | Clinic/Center | 1700 17th St Nw, Building Unit 417801 #6, Austin, MN 55912-6355 | 2005-12-12 |
| 1104058387 | James Daniel Shaffer | Physician Assistant | 1838 Greene Tree Rd, Suite 400, Baltimore, MD 21208-6391 | 2009-08-20 |
| 1245460534 | James Franklin Shaffer | Nurse Anesthetist, Certified Registered | 970 Campbell Rd, Houston, TX 77024 | 2009-07-21 |
| 1063653251 | James William Shaffer | Physician Assistant | 6322 Fayetteville Rd, Raeford, NC 28376-7979 | 2009-03-17 |
| 1639343015 | James Andrew Shaffer | Orthopaedic Surgery | 3399 Trindle Rd, Camp Hill, PA 17011-4407 | 2008-04-17 |
| 1205033115 | James E Shaffer | Emergency Medicine | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2007-07-03 |
| Street Address |
8725 N WICKHAM RD SUITE 302 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101985 | Martin E Avalos | Internal Medicine | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-5997 | 2005-08-17 |
| 1457973968 | Amanda Baker | Pharmacist | 8725 N Wickham Rd, Melbourne, FL 32940-2239 | 2020-05-07 |
| 1861931198 | Health First Family Pharmacy | Pharmacy | 8725 N Wickham Rd, Suite 102, Melbourne, FL 32940-2239 | 2017-02-20 |
| 1790234219 | Megan Mcclain | Nurse Practitioner | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2240 | 2016-09-26 |
| 1396143475 | Holmes Regional Medical Center, Inc. | Pharmacy | 8725 N Wickham Rd, Melbourne, FL 32940-2239 | 2014-12-05 |
| 1518207943 | Beth Ann Decordova | Nurse Practitioner | 8725 N Wickham Rd, 200, Melbourne, FL 32940-2239 | 2013-02-21 |
| 1700166378 | Health First Physicians, Inc | Orthopaedic Surgery | 8725 N Wickham Rd, Suite 301, Melbourne, FL 32940-2239 | 2011-08-26 |
| 1003132887 | Nathan D Allison | Surgery | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2010-04-19 |
| 1780812586 | Aimee Lynn Tieu | Obstetrics & Gynecology | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2009-06-30 |
| 1851584593 | Amanda Gray Connan | Physician Assistant | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2007-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275826133 | Kerry Elizabeth Spero | Internal Medicine | 8725 N Wickham Rd Ste 203, Melbourne, FL 32940-2240 | 2011-05-25 |
| 1548293442 | Parvesh K. Bansal | Internal Medicine | 1400 Pine St, Suite A, Melbourne, FL 32901-3170 | 2006-07-07 |
| 1619507209 | Necmo Pa | Internal Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2020-01-22 |
| 1225396302 | Jonathan Torres-luna | Internal Medicine | 1223 Gateway Dr Ste 2g, Melbourne, FL 32901-2607 | 2012-04-26 |
| 1083900377 | Vanessa Joann Ohleyer | Internal Medicine | 8745 N Wickham Rd, Melbourne, FL 32940 | 2011-06-24 |
| 1972819944 | Anton Micael Dela Cruz | Internal Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2010-08-27 |
| 1932422433 | Rodel Umlas Banal | Internal Medicine | 1314 Oak St, Melbourne, FL 32901-3111 | 2010-03-11 |
| 1407976517 | Ashlee E. Moore | Internal Medicine | 1350 Hickory St, Melbourne, FL 32901 | 2007-03-30 |
| 1659392785 | Zaki Elmaghraby | Internal Medicine | 1314 Oak St, Melbourne, FL 32901-3111 | 2006-07-22 |
| 1841243920 | William Lemar Jackson Jr. | Internal Medicine | 1350 S Hickory St, Melbourne, FL 32901-3278 | 2006-05-18 |
| Find all providers in MELBOURNE | ||||
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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.