Active NPI
Robert Dale Shaffer Sr., NBC-HIS
- Hearing Instrument Specialist
- Panama City, FL
National Provider Identifier
1285871459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 4134
- Practice address
- 401 E 23Rd St Ste H
Panama City, FL 32405-7616 - Phone
- (850) 763-5100
- NPI assigned
- Jan 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 4134 | CO | Primary |
| Hearing Instrument Specialist | 237700000X | AS3797 | FL |
Addresses
Primary practice location
401 E 23Rd St Ste H
Panama City, FL 32405-7616
Mailing address
10570 SE Washinton Street
Suite 202
Portland, OR 97216
Phone (503) 257-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4134 | CO | MD | Hearing Instrument Specialist |
| AS3797 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All American Hearing | Past | Accepting new patients | |
| Northland Hearing Centers Inc | Hearing Instrument Specialist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Panama City, FL
- NPI 1083949317
-
- Hearing Instrument Specialist
- Panama City, FL
- NPI 1346488384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1285871459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10570 SE WASHINTON STREET",
"address_2": "SUITE 202",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97216",
"telephone_number": "503-257-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E 23RD ST STE H",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057616",
"telephone_number": "850-763-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "ROBERT",
"middle_name": "DALE",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "NBC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-09",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CO",
"license": "4134",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS3797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.