Individual provider Active NPI

David J. Shaffer, M.D.

  • Emergency Medicine Physician
  • Cadiz, OH
National Provider Identifier
1194815951
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35068595 Issued in OH
Practice address
951 E Market St
Cadiz, OH 43907-9799
Phone
(740) 942-4631
Fax
(740) 942-2749
NPI assigned
Oct 13, 2006
Last updated
Nov 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35068595 OH Primary
Surgery Physician 208600000X 35068595 OH

Addresses

Primary practice location

951 E Market St
Cadiz, OH 43907-9799

Mailing address

1222 Pleasant Ave
Wellsburg, WV 26070-1345
Phone (304) 737-1942

Other identifiers 1

IdentifierTypeStateIssuer
0143268MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090409000217 WV Practitioner - General SurgeryPractitioner - Emergency Medicine 0143271965 Reassigns benefits to 1 organization
I20141002002344 OH Practitioner - Emergency Medicine 0143271965 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068595OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiana Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Erx Group, LLC Emergency Medicine CurrentSince Jun 5, 2016 Accepting new patients

Locations

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1194815951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 PLEASANT AVE",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701345",
            "telephone_number": "304-737-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E MARKET ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439079799",
            "telephone_number": "740-942-4631",
            "fax_number": "740-942-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35068595",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35068595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143268",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, OH

Sources for this page

Verify at the official NPI Registry.