DR. KENNETH MARK SHAFFER (NPI# 1922062652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922062652 |
| Entity Type | Individual |
| Full Name | DR. KENNETH MARK SHAFFER |
| Credential | M.D. |
| Practice Address |
4314 Medical Pkwy Ste 200 Austin TX 78756-3334 |
| Mailing Address |
4314 Medical Pkwy Ste 200 Austin TX 78756-3332 |
| Practice Telephone | 5124541110 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
J2908 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4314 MEDICAL PKWY STE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437535432 | Julie M Arldt-mcalister | Nurse Practitioner | 4314 Medical Pkwy, Austin, TX 78756-3334 | 2015-08-03 |
| 1700294550 | Beth Bramble Psychotherapy Associates, Pllc | Social Worker | 4314 Medical Pkwy, Suite 201, Austin, TX 78756-3334 | 2014-07-24 |
| 1073811030 | Julie R Manning | Nurse Practitioner | 4314 Medical Pkwy, Ste. 200, Austin, TX 78756-3334 | 2011-03-01 |
| 1992919120 | Walter Harrell | Psychologist | 4314 Medical Pkwy, Ste. 201, Austin, TX 78756-3334 | 2007-05-09 |
| 1730113754 | Hanoch Avraham Patt | Pediatrics | 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | 2006-07-10 |
| 1356396444 | Karen L. Wright | Pediatrics | 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | 2006-05-24 |
| 1790736494 | Arnold L Fenrich Jr. | Pediatrics | 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | 2006-05-15 |
| 1437107331 | Gregory Leigh Johnson | Pediatrics | 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | 2006-05-04 |
| 1811954787 | Stuart Allen Rowe | Pediatrics | 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | 2006-04-26 |
| 1154386753 | James Patrick Finnigan | Pediatrics | 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | 2006-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962694877 | Ronald B Shapiro Md Pa | Pediatrics | 900 E 30th St Ste 311, Austin, TX 78705-3378 | 2007-08-14 |
| 1861533259 | Ronald Bruce Shapiro | Pediatrics | 1110 E 32nd St, Austin, TX 78722-2211 | 2007-02-09 |
| 1841251246 | Daniel Paul Shmorhun | Pediatrics | 4314 Medical Pkwy Ste 200, Austin, TX 78756-3332 | 2006-03-28 |
| 1588845705 | Brian Seth Goldstein | Pediatrics | 1110 E 32nd St, Austin, TX 78722-2211 | 2007-11-15 |
| 1558577676 | Jeannine Michelle Schuman Mccoy | Pediatrics | 1110 E 32nd St, Austin, TX 78722-2211 | 2007-05-15 |
| 1043438450 | Dudley Byron Holt | Pediatrics | 1110 E 32nd St, Austin, TX 78722-2211 | 2007-04-23 |
| 1831230127 | Frank Wong | Pediatrics | 1110 E 32nd St, Austin, TX 78722-2211 | 2007-02-09 |
| 1730113754 | Hanoch Avraham Patt | Pediatrics | 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | 2006-07-10 |
| 1356396444 | Karen L. Wright | Pediatrics | 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | 2006-05-24 |
| 1790736494 | Arnold L Fenrich Jr. | Pediatrics | 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | 2006-05-15 |
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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.