Virginia E Shafer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD025185E Issued in PA

Practice address

770 Broad Street
East Earl, PA 17519

Phone

(717) 445-4576

Fax

(717) 445-4483

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1740297977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "TERRE HILL",
            "state": "PA",
            "postal_code": "175810130",
            "telephone_number": "717-445-4576",
            "fax_number": "717-445-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BROAD STREET",
            "city": "EAST EARL",
            "state": "PA",
            "postal_code": "17519",
            "telephone_number": "717-445-4576",
            "fax_number": "717-445-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "VIRGINIA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD025185E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009093820009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00260454",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "146127",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher George McCarty, DO
• Mua Associates of Pennsylvania
• Nurse Midwifery Care PC
• Karen E Sauder, CRNP
• Shady Maple Pharmacy
• The Dwelling Place Counseling LLC
• Bruce C Waskowicz, M.D.
• Wellspan Medical Group
• Daniel T West, DC
• Williams & Tate LLC

• Family Medicine Physician in East Earl, PA
• Providers in East Earl, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.