Active NPI
William Orlon Shaffer, M.D.
- Orthopaedic Surgery Physician
- Lexington, KY
National Provider Identifier
1891750550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 36600
- Practice address
- 740 S. Limestone Street
K-416 Kentucky Clinic
Lexington, KY 40536-0284 - Phone
- (859) 323-5533
- Fax
- (859) 323-2412
- NPI assigned
- Apr 18, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 36600 | KY | Primary |
Addresses
Primary practice location
740 S. Limestone Street
K-416 Kentucky Clinic
Lexington, KY 40536-0284
Mailing address
1200 1St Ave E Ste C
Northwest Iowa Bone Joint & Sports Surgeons
Spencer, IA 51301-4342
Phone (712) 262-7511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36600 | KY | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1891750550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 1ST AVE E STE C",
"address_2": "NORTHWEST IOWA BONE JOINT & SPORTS SURGEONS",
"city": "SPENCER",
"state": "IA",
"postal_code": "513014342",
"telephone_number": "712-262-7511",
"fax_number": "712-262-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S. LIMESTONE STREET",
"address_2": "K-416 KENTUCKY CLINIC",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360284",
"telephone_number": "859-323-5533",
"fax_number": "859-323-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "WILLIAM",
"middle_name": "ORLON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "36600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.