Dana C Shaffer, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

03636 Issued in KY

Practice address

184 S Mayo TRL
Pikeville, KY 41501-1518

Phone

(606) 218-4800

Fax

(606) 218-4810

NPI assigned

Jul 29, 2005

Last updated

Jul 17, 2014By the provider in NPPES

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 Osteopathy

State licenses

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1922008176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2917",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022917",
            "telephone_number": "606-218-4800",
            "fax_number": "606-218-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011518",
            "telephone_number": "606-218-4800",
            "fax_number": "606-218-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "DANA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02167",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237305",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena Scott, LPCA
• Michael A. Scroggins, CRNA
• Kaylee Madison Sesco
• Matthew Sexton, M.D.
• Joshua Lee Shafer, PHARMD
• Felicia Shanahan-White, DMD
• Devesh Sharma, M.D.
• Sheila G Combs MD PSC
• Michelle Dawn Shepherd, PMHNP
• Shena Michelle Shepherd

• Family Medicine Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.