Mary Faye Shaffer

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

4533 Stephens Cir NW Apt 108
Canton, OH 44718-3626

Phone

(234) 347-0136

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1841975455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 STEPHENS CIR NW APT 108",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183626",
            "telephone_number": "234-347-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 STEPHENS CIR NW APT 108",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183626",
            "telephone_number": "234-347-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "MARY",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "SL892823",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorian Renuald Seymour Jr.
• Ronald Seymour Jr.
• Shaeron Seymour, STNA
• Mazin Shackour, M.D.
• Elizabeth Marie Shaffer, AGACNP
• Gina Marie Shaffo, RN, CRNA
• Akbar Shah, M.D.
• Amrusha Shah, MD
• Ayushi Shah, MD
• Zaheer A Shah, MD

• Homemaker in Canton, OH
• Providers in Canton, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.