Mark Edward Shaffer (NPI# 1639308380, PAC ID# 2961727953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639308380 |
| PAC ID by PECOS | 2961727953 |
| Professional Enrollment ID | I20150216000865 |
| Full Name | Mark Edward Shaffer |
| Organization Legal Name | THE COMMUNITY HEALTH FOUNDATION OF FAIRFIELD COUNTY |
| Address |
56 Us Hwy 321 N Byp Winnsboro SC 29180-7100 |
| Phone Number | 8036356099 |
| Gender | M |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1759291578 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| 420026 | PROVIDENCE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 3209 Colonial Dr, Columbia, SC 29203-6930 | 8034346113 | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 | 8036356099 | THE COMMUNITY HEALTH FOUNDATION OF FAIRFIELD COUNTY |
| Organization Legal Name | THE COMMUNITY HEALTH FOUNDATION OF FAIRFIELD COUNTY |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Mcelmurray | Family Medicine | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Ashley Nicole Burton Sirianni | Nurse Practitioner | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Audrey Lane Bowen | Nurse Practitioner | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Street Address |
56 US HWY 321 N BYP |
| City | WINNSBORO |
| State | SC |
| Zip | 29180-7100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Mcelmurray | Family Medicine | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Ashley Nicole Burton Sirianni | Nurse Practitioner | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Audrey Lane Bowen | Nurse Practitioner | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua B Skaggs | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Robert Keroson | Chiropractic | 143 Hwy 321 Byp, Winnsboro, SC 29180 | |
| Sean O Meara | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Michael Todd Oneil | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Leonysia Faye Watson | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Radwan S Hallaba | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Duncan Allen Holaday Ii | General Practice | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Paul A Sansbury Iii | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| John Dewayne Gaskins | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Harmon Patrick | Family Medicine | Fairfield Medical Associates, Pa | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 |
| Find all physicians in zip 29180 | |||
| City | WINNSBORO |
| Zip Code | 29180 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WINNSBORO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark Edward Shaffer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.