Active NPI
Matthew Shaffer MD PLLC
- Primary Care Clinic/Center
- Charleston, WV
National Provider Identifier
1538330519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 22835
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.