Active NPI
Scott K Shaffer
- Certified Registered Nurse Anesthetist
- Salida, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 165807
- Practice address
- 448 E 1St St
Salida, CO 81201-2804 - Phone
- (719) 539-6661
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 165807 | CO | Primary |
Addresses
Primary practice location
448 E 1St St
Salida, CO 81201-2804
Mailing address
3863 SW Loop 820
Suite 300
Fort Worth, TX 76133-2064
Phone (877) 294-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59338547 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165807 | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stratus Dominion Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hill Regional Physician Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stratus Anesthesia Associates Dallas PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Stratus Anesthesia Associates Southlake PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5600 W Lovers Ln
Dallas, TX 75209
Phone (214) 520-4000
25 Highland Park Vlg
Ste 100765
Dallas, TX 75205
Phone (214) 219-3747
3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 377-5223
101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500
2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321
1324 Brown St
Waxahachie, TX 75165
Phone (972) 937-4000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lancaster, TX
- NPI 1679189856
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1912350976
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1205086808
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1851630487
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881626562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3863 SW LOOP 820",
"address_2": "SUITE 300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761332064",
"telephone_number": "877-294-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 E 1ST ST",
"city": "SALIDA",
"state": "CO",
"postal_code": "812012804",
"telephone_number": "719-539-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "SCOTT",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "165807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59338547",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salida, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.