James Daniel Shaffer, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C04032 Issued in MD

Practice address

1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391

Phone

(410) 602-7782

Fax

(410) 602-9344

NPI assigned

Aug 20, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifebridge Community Gastroenterology, LLC

  • Gastroenterology Physician
  • Pikesville, MD
  • NPI 1033558416
  Medicare reassignment Care Compare group
• Dr Wendy Kloesz, M.D., P.a

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1144472887
  NPD
• Pikesville MD Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1043497019
  NPD
• Endocentre at Quarterfield Station

  • Endoscopy Clinic/Center
  • Glen Burnie, MD
  • NPI 1396798930
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Woodholme Gastroenterology Assoc PA

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1700839347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1104058387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64589",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644589",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semiat Olaide Shafau, DO
• Dawn M Shafer, LCSW-C
• Ashton Annalouise Shaffer
• Daniel Shaffer
• Douglas Damien Shaffer, CAC-AD
• Katharine Suzanne Shaffer, PHD, LP
• Kathryn Ann Shaffer, ATC, DPT
• Donald Shaffner, M.D.
• Javaid M Shafi, M.D.
• Suzanna Shafi

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.