Mark W. Shaffer, DPM

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARK W. SHAFFER, DPM

Doing business as

Mark W. Shaffer, DPM

Practice address

513B Great Oaks Dr
Monroe, GA 30655-8211

Phone

(770) 267-9391

Fax

(770) 207-7196

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark William Shaffer, DPM

Title

Podiatrist/Owner

Phone

(770) 267-9391

Specialties & licenses 1

Addresses

Other names 1

• MARK W. SHAFFER, DPM Doing business as

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1396923942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513B GREAT OAKS DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558211",
            "telephone_number": "770-267-9391",
            "fax_number": "770-207-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513B GREAT OAKS DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558211",
            "telephone_number": "770-267-9391",
            "fax_number": "770-207-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. SHAFFER, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "770-267-9391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARK W. SHAFFER, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Mahieu, MED., ATC
• Heather Marie Goodwin Mancebo
• Nancy A Manley, EDD, LPC
• Joseph Danso Manu, LPC
• Marilyn Digamon Beltran
• Brittney L Marler, P.A
• Dennis J Martucci, PT
• Molly Masselli
• Thomas Mathew Jr., M.D.
• Matriarch Medical LLC

• Durable Medical Equipment & Medical Supplies in Monroe, GA
• Providers in Monroe, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.