Individual provider Active NPI

Erin E Shaffer, DO

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1457762122
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017824 Issued in PA
Practice address
4108 Zuck Rd
Erie, PA 16506-4539
Phone
(814) 877-5333
Fax
(814) 877-5329
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS017824 PA Primary

Addresses

Primary practice location

4108 Zuck Rd
Erie, PA 16506-4539

Mailing address

4108 Zuck Rd
Erie, PA 16506-4539
Phone (814) 877-5333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erin.e.shaffer@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170501002118 PA Practitioner - Family PracticePractitioner - Sports Medicine 6709180540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

991 Route 19 N B
Waterford, PA 16441-9739
Phone (814) 796-2553

Hospital & facility affiliations

  • Upmc Hamot Hospital, Erie, PA, CCN 390063
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Hospice of Washington Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Upmc Washington Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Regional Health Services Inc Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Washington Physician Services Family Medicine CurrentSince Jul 2, 2018 Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

4108 Zuck Rd
Erie, PA 16506
Phone (814) 397-5438

1001 Waterdam Plaza Dr
McMurray, PA 15317
Phone (724) 969-1001

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
Washington, PA 15301
Phone (724) 223-3100

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

991 Route 19 N
Ste B
Waterford, PA 16441
Phone (814) 796-2553

Organizations & group practices 4

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 3

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1457762122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064539",
            "telephone_number": "814-877-5333",
            "fax_number": "814-877-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064539",
            "telephone_number": "814-877-5333",
            "fax_number": "814-877-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin.e.shaffer@upmcdirect.com",
            "affiliation": "N",
            "address_1": "991 Route 19 N Ste B",
            "city": "Waterford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164419739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.