NPIMap

Individual provider Active NPI

Elizabeth Gail Shaffer, MD

  • Anesthesiology Physician
  • Charleston, WV
National Provider Identifier
1154555316
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25405 Issued in WV
Practice address
3508 Staunton Ave SE
Charleston, WV 25304-1477
Phone
(304) 925-4086
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25405 WV Primary

Addresses

Primary practice location

3508 Staunton Ave SE
Charleston, WV 25304-1477

Mailing address

3508 Staunton Ave SE
Charleston, WV 25304-1477
Phone (304) 925-4086

Other identifiers 1

IdentifierTypeStateIssuer
3810027614MedicaidWV

Other names 1

  • Elizabeth Gail Roberts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140804001966 WV Practitioner - Anesthesiology 3870710510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
West Virginia University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-7823

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Nov 1, 2024 Accepting new patients
General Anesthesia Services Inc Anesthesiology CurrentSince Aug 18, 2014 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

3508 Staunton Ave SE
Charleston, WV 25304
Phone (304) 925-4086

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1306 Kanawha Blvd E
Charleston, WV 25301
Phone (304) 343-4371

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1154555316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 STAUNTON AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041477",
            "telephone_number": "304-925-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 STAUNTON AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041477",
            "telephone_number": "304-925-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "ELIZABETH",
        "middle_name": "GAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "25405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810027614",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ROBERTS",
            "middle_name": "GAIL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.