Beverly Shafer, MD, PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

57782 Issued in MA

Legal business name

BEVERLY SHAFER, MD, PC

Practice address

900 Cummings Ctr
Suite 112W
Beverly, MA 01915-6198

Phone

(978) 927-8844

Fax

(978) 927-8845

NPI assigned

May 18, 2015

Organization subpart

Yes

Parent organization

BEVERLY SHAFER, MD, PCAs reported in NPPES

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

Authorized official

Name

Dr. Beverly Shafer, MDNPI 1558475467

Title

Owner

Phone

(978) 927-8844

Specialties & licenses 1

Addresses

Part of

Beverly M Shafer MD PC

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly M Shafer, MD

  • Plastic and Reconstructive Surgery Physician
  • Beverly, MA
  • NPI 1558475467
  NPD Authorized official
• Justin Reid Fernandes, MD

  • Plastic Surgery Physician
  • Burlington, MA
  • NPI 1427201011
  NPD (past)

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1427436807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 112W",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 112W",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "978-927-8844",
            "fax_number": "978-927-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY SHAFER, MD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEVERLY SHAFER,  MD, PC",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-927-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "57782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Pediatrics Association
• Beverly Podiatry Inc.
• Beverly Podiatry, Inc
• Beverly Radiology Associates, Inc.
• Beverly School for the Deaf
• Beverly Surgical Associates Inc
• Matthew Bevilacqua
• Polly Beyer, LICSW
• Beyond Transportation LLC
• Hiren Bhattacharya

• Plastic and Reconstructive Surgery Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Plastic and Reconstructive Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.