Kenneth E Shafer, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35076098 Issued in OH

Practice address

721 E Milltown Rd
Wooster, OH 44691-1255

Phone

(330) 287-4550

Fax

(330) 287-4691

NPI assigned

May 16, 2006

Sex

Male

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 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1801848098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912204",
            "telephone_number": "330-287-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911255",
            "telephone_number": "330-287-4550",
            "fax_number": "330-287-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "KENNETH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35076098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2304821",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa L. Sellers, MSW, LSW
• Ruta Semaskiene, MD
• Courtney L Seward
• Emily Sewell
• Annette L Shafer, LMT
• Chris Allan Shaffer, LSW
• Susan Shaffer, LSW
• Alisha Ann Shankel, FNP-C
• Cherie Shanko, LSW
• Brittany A. Shannon, MA, LPCC

• Cardiovascular Disease Physician in Wooster, OH
• Providers in Wooster, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.