David A Shaller, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD030260E Issued in PA

Practice address

71 Hospital Drive
Towanda, PA 18848-9706

Phone

(570) 265-6300

Fax

(570) 268-2807

NPI assigned

Jul 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1831445550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 CHURCH ST",
            "address_2": "APT 32",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045331",
            "telephone_number": "570-287-8524",
            "fax_number": "570-268-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOSPITAL DRIVE",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489706",
            "telephone_number": "570-265-6300",
            "fax_number": "570-268-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLER",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD030260E",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD030260E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014906210004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adnan Saba, MD
• Robin Elaine Sammons, CRNP
• Edward Schmitt, CRNA
• Lani Schwartz, ATC
• Rhonda Jean Seamon, LCSW
• John Andrew Slater, DPT
• Brittany Michelle Smith, RPH
• Echo Ingham Smith, PT
• Kelli Lynn Smith, PT
• Kelly R Smith, LCSW

• Rheumatology Physician in Towanda, PA
• Providers in Towanda, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.