Ian Arnold Shaffer, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101047780 Issued in VA

Practice address

11303 Walnut Creek CT
Oakton, VA 22124-2044

Phone

(703) 218-3667

Fax

(703) 218-3668

NPI assigned

May 23, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1508159781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 MOSSY OAK DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053836",
            "telephone_number": "703-304-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11303 WALNUT CREEK CT",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242044",
            "telephone_number": "703-218-3667",
            "fax_number": "703-218-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "IAN",
        "middle_name": "ARNOLD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "VA",
            "license": "0101047780",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101047780",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101047780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca B Sawyer, M.D.
• Craig M Scimeca, D.D.S.
• Karen Schweizer Scoggins, M.ED., CCC-SLP
• Serenity Through Enrichment Psychological Services, LLC
• Nikki Serrano, P.T.
• Aaron R Shelton, PT, DPT
• Alyssa Shema, OD
• Maryann Sheridan, LMFT
• Laura R Simmons-Fonner, MA, LPC
• Jennifer Lupianez Sims, D.C.

• Psychiatry Physician in Oakton, VA
• Providers in Oakton, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.