Organization Active NPI

Matthew Shaffer MD PLLC

  • Primary Care Clinic/Center
  • Charleston, WV
National Provider Identifier
1538330519
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
22835 Issued in WV
Legal business name
MATTHEW SHAFFER MD PLLC
Practice address
331 Laidley St
Suite 601
Charleston, WV 25301-1619
Phone
(304) 205-5216
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Matthew James Shaffer, M.D.
Title
Owner
Phone
(304) 205-5216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 22835 WV Primary

Addresses

Primary practice location

331 Laidley St
Suite 601
Charleston, WV 25301-1619

Mailing address

1822 Roundhill Rd
Charleston, WV 25314-1538
Phone (304) 205-5216

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1538330519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 ROUNDHILL RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141538",
            "telephone_number": "304-205-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "address_2": "SUITE 601",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-205-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW SHAFFER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-205-5216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WV",
            "license": "22835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.