NPIMap

Individual provider Active NPI

Dorothy P Shaffer, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1467444976
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35071837S Issued in OH
Practice address
3836 Reading Rd
Cincinnati, OH 45229-1535
Phone
(513) 221-2111
Fax
(513) 221-0111
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35071837S OH Primary

Addresses

Primary practice location

3836 Reading Rd
Cincinnati, OH 45229-1535

Mailing address

3836 Reading Rd
Cincinnati, OH 45229-1535
Phone (513) 221-2111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000319 OH Practitioner - Internal Medicine 4183606940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

3836 Reading Rd
Cincinnati, OH 45229-1535
Phone (513) 221-2111

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35071837SOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Full Spectrum Health Center LLC CurrentSince Dec 31, 2002 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3836 Reading Rd
Cincinnati, OH 45229
Phone (513) 221-2111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9187/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dorothy.shaffer.1@9187.direct.athenahealth.com

Organizations & group practices 3

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 10

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1467444976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291535",
            "telephone_number": "513-221-2111",
            "fax_number": "513-221-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291535",
            "telephone_number": "513-221-2111",
            "fax_number": "513-221-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "DOROTHY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071837S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.