DR. JOHN C. SHAFFER (NPI# 1902990260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902990260 |
Entity Type | Individual |
Full Name | DR. JOHN C. SHAFFER |
Credential | M.D. |
Practice Address |
800 N. 1st Street Springfield IL 62702 |
Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
Practice Telephone | 2175287541 |
Mailing Telephone | 2175287541 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2011-04-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
036-094515 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036094515 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619033289 | John B.p. Shaffer | Psychologist | 120 No. Main St, Ste. 301, New City, NY 10956-3717 | 2006-12-28 |
1396358438 | John Wayne Shaffer | Licensed Practical Nurse | 500 W Front St, Boise, ID 83702-7231 | 2020-08-28 |
1376750695 | John David Shaffer | Orthotist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-05-17 |
1487784559 | John Coy Shaffer | Registered Nurse | 800 Scenic Dr, Modesto, CA 95350-6131 | 2007-03-06 |
1255401295 | John Shaffer | Physical Therapy Assistant | 1 Medical Center Drive, Morgantown, WV 26506 | 2006-11-08 |
1982629945 | John W Shaffer | Orthopaedic Surgery | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-12 |
1144272634 | John H. Shaffer | Social Worker | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-05-16 |
Street Address |
800 N. 1ST STREET |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972615748 | Thomas E. Baron | Urology | 800 N. 1st Street, Springfield, IL 62702 | 2006-08-31 |
1427199934 | William Michael Davin | Massage Therapist | 800 N. 1st Street, Springfield, IL 62702 | 2007-02-08 |
1922149442 | Jeannette M Atcherson | Specialist/Technologist, Other | 800 N. 1st Street, Springfield, IL 62702 | 2007-02-08 |
1356424808 | Windie C. Mckay | Chiropractor | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-20 |
1265529283 | Mary A. Albers | Nurse Practitioner | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-10 |
1326136870 | Denise K. Mears | Nurse Practitioner | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-10 |
1235225780 | Claude J Fortin | Psychiatry & Neurology | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-04 |
1720172828 | John R. Trost | Surgery | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-03 |
1811081177 | Marten J. Sikorski | Podiatrist | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-03 |
1326131285 | Donald S. Ross | Surgery | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
Find all providers in zip 62702 |
Taxonomy Code | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912347519 | Erica Weston | Obstetrics & Gynecology | 3300 Main St, Springfield, MA 01107-1112 | 2013-06-27 |
1376803148 | Lindsay Morgan West | Obstetrics & Gynecology | 3300 Main Street, 4th Floor, Springfield, MA 01107-1112 | 2012-05-25 |
1043338395 | Nora Taylor Maczura | Obstetrics & Gynecology | 900 N 1st St, Springfield, IL 62702-3749 | 2007-03-26 |
1902931587 | Kathleen Ying Yang | Obstetrics & Gynecology | 3377 Riverbend Dr Ste 500, Springfield, OR 97477-8802 | 2007-02-22 |
1598859324 | Michel Prefontaine | Obstetrics & Gynecology | 3350 Main St, Springfield, MA 01199-1005 | 2006-10-03 |
1194835181 | Jay W Carlson | Obstetrics & Gynecology | 2055 S Fremont Ave, Ste 200, Springfield, MO 65804-2206 | 2006-08-30 |
1821103912 | Tashanna K Myers | Obstetrics & Gynecology | 3350 Main St, 4th Fl, Springfield, MA 01107-1112 | 2006-08-20 |
1063437127 | Audrey Garrett | Obstetrics & Gynecology | 3355 Riverbend Dr, Ste 210, Springfield, OR 97477-8800 | 2006-07-12 |
1740212232 | Deborah J Dotters | Obstetrics & Gynecology | 3355 Riverbend Dr, Ste 210, Springfield, OR 97477-8800 | 2006-07-07 |
1346278041 | Laurent Brard | Obstetrics & Gynecology | 415 N 9th St, Ste 6w70, Springfield, IL 62702-5303 | 2006-06-29 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62702 |
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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.