Active NPI
John Shaver, M.D.
- Internal Medicine Physician
- Mansfield, MA
National Provider Identifier
1922021229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37294
- Practice address
- 200 Copeland Dr
Mansfield, MA 02048-1225 - Phone
- (508) 339-4144
- Fax
- (508) 261-9940
- NPI assigned
- Jul 26, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 37294 | MA | Primary |
Addresses
Primary practice location
200 Copeland Dr
Mansfield, MA 02048-1225
Mailing address
200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 354 | Other | FALLON | |
| 037294 | Other | TUFTS | |
| B10190201 | Other | CIGNA | |
| 000000028125 | Other | BMC HEALTHNET | |
| 0401171 | Other | UHC | |
| 203660 | Other | RIBCHIP | |
| K10014 | Other | MA | MABC |
| 6263 | Other | HPHC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922021229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COPELAND DR",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481225",
"telephone_number": "508-339-4144",
"fax_number": "508-261-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 COPELAND DR",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481225",
"telephone_number": "508-339-4144",
"fax_number": "508-261-9940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAVER",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "37294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "354",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "037294",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B10190201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000028125",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0401171",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RIBCHIP",
"identifier": "203660",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MABC",
"identifier": "K10014",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "6263",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, MA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.