CALLIE E SHAFFER


Address: 140 Newcomb Ave, Mount Vernon, KY 40456-2728
Phone: 6062564148

CALLIE E SHAFFER (NPI# 1992811046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992811046
Entity Type Individual
Full Name CALLIE E SHAFFER
Credential M.D.
Practice Address 140 Newcomb Ave
Mount Vernon
KY 40456-2728
Mailing Address Po Box 1525
Mount Vernon
KY 40456-1525
Practice Telephone 6062564148
Practice Fax Number 6062567785
Mailing Telephone 6062564148
Mailing Fax Number 6062565191
Enumeration Date 2006-08-22
Last Update Date 2010-11-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 38737 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY TAX ID (EFFECT. 01/01/10) 27-0496454 01
KY ANTHEM BC/BS 000000337528 01
KY 7100081050 05
KY DEPT OF LABOR 000000475691 01
KY 64087299 05
KY CHA 1217376 01
KY ANTHEM PIN (EFFECT. 01/01/10) 637591 01
KY MEDICAL LICENSE NUMBER 38737 01
KY DEA NUMBER BS7882144 01

Office Location

Street Address 140 NEWCOMB AVE
City MOUNT VERNON
State KY
Zip Code 40456-2728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649298779 Michael Kevin Rowe Emergency Medicine 140 Newcomb Ave, Mount Vernon, KY 40456-2728 2006-07-17
1225640022 Jessica Carpenter Nurse Practitioner 140 Newcomb Ave, Mount Vernon, KY 40456-2725 2020-08-21
1669941860 Brent Hasty Social Worker 140 Newcomb Ave, Mount Vernon, KY 40456-2725 2018-11-16
1851878318 Megan Taylor Pittman Nurse Practitioner 140 Newcomb Ave, Mount Vernon, KY 40456-2725 2018-07-26
1447770920 Cumberland Foot and Ankle Centers Orthopaedic Surgery 140 Newcomb Ave, Mount Vernon, KY 40456-2725 2017-06-26
1437680964 Mary Joenborg Family Medicine 140 Newcomb Ave, Mount Vernon, KY 40456-2725 2017-03-26
1659802635 Angela Richelle Debord Isaacs Family Medicine 140 Newcomb Ave, Mount Vernon, KY 40456-2725 2017-03-22
1285080366 Deana P. Gabbard Physician Assistant 140 Newcomb Ave, Mount Vernon, KY 40456-2725 2016-05-09
1326420969 Kelsey Ladd Psychiatry & Neurology 140 Newcomb Ave, Mount Vernon, KY 40456-2725 2015-06-19
1003212630 Brandon Cowan Emergency Medicine 140 Newcomb Ave, Mount Vernon, KY 40456 2014-11-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700274248 Angela Joy Silva Counselor 20 Lovell Court, Mt Vernon, KY 40456 2015-01-07
1992128045 Health Help Inc Pharmacy 116 Progress Drive, Mount Vernon, KY 40456 2014-01-27
1376703017 Cumberland Valley Dist Health Dept Public Health or Welfare 1545 Lake Cumberland Road, Mt Vernon, KY 40456 2008-06-16
1386803401 Mt Vernon Partials and Dentures Denturist 571 Richmond Street, Mt Vernon, KY 40456 2008-06-04
1285817973 Lloyd L. Cain O.d Eyewear Supplier (Equipment, not the service) 205 Richmond Street, Mount Vernon, KY 40456 2007-12-17
1669652210 Main Street Pharmacy LLC Durable Medical Equipment & Medical Supplies 150 Main Street Pharmacy, Mt Vernon, KY 40456 2007-11-13
1952516197 Suzann Fenton Specialist 4192 Wilderness Rd, Mt. Vernon, KY 40456 2007-05-11
1659595304 Rockcastle County Adult Health Care Clinic/Center 1260 S. Wilderness Road, Mount Vernon, KY 40456 2007-04-12
1790909075 Teresa Blair Dietitian, Registered 145 Newcomb Ave., Rockcastle Hospital, Mt Vernon, KY 40456 2007-04-11
1972622066 Tracy Renee King Pharmacist 110 Newcomb Avenue, Mt. Vernon, KY 40456 2007-03-28
Find all providers in zip 40456

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487290615 Pediatric Group, LLC Pediatrics 1007 S 42nd St Ste 1, Mount Vernon, IL 62864-6217 2019-11-22
1659785400 Andrea Michelle Weiner Pediatrics 54 Parkway S, Mount Vernon, NY 10552-2227 2014-06-19
1023375433 Hayley Harris Martins Pediatrics 4103 S Water Tower Pl, Mount Vernon, IL 62864-6293 2012-04-23
1538326582 Kaushal Pediatric Services Ltd Pediatrics 4107 North Water Tower Place, Mount Vernon, IL 62864 2008-05-19
1467511618 Beth L Bernstein Pediatrics 107 West 4th St, Mount Vernon, NY 10550 2006-12-06
1023128824 Cheryl Esen Zentner Pediatrics 2101 Little Mountain Ln, Mount Vernon, WA 98274-8752 2006-08-30
1932164951 Marjorie Mabong Nwosu Pediatrics 3505 Broadway, Mount Vernon, IL 62864 2006-04-20
1003878703 Neeta B Kaushal Pediatrics 4107 N Water Tower Pl, Mount Vernon, IL 62864-6296 2006-04-06
1013992288 Marie-micheline Lominy Pediatrics 559 Gramatan Ave, Suite 203, Mount Vernon, NY 10552-2155 2005-12-10
1407218969 Mari Hammerquist Oathes Pediatrics 2320 Freeway Dr, Mount Vernon, WA 98273-5445 2016-03-24
Find all providers in MOUNT VERNON

Competitor

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City MOUNT VERNON
Zip Code 40456

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Dataset Information

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.

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