Kathleen Bray Shaffer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-19627 Issued in KS

Practice address

8800 W. 75TH Street
Suite 220
Merriam, KS 66204

Phone

(913) 384-5500

Fax

(913) 384-5209

NPI assigned

Jul 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1952309148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 W. 75TH STREET",
            "address_2": "SUITE 220",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-384-5500",
            "fax_number": "913-384-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W. 75TH STREET",
            "address_2": "SUITE 220",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-384-5500",
            "fax_number": "913-384-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "KATHLEEN",
        "middle_name": "BRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0419627",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R9B94",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-19627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Schweitzer
• Kyree Scripsick, DPT
• Yee-Ai See
• Alicia Senter, OTR/L
• Allison O'Boynick Serrano, PA-C
• Umang Harshadkumar Shah, M.D., M.P.H.
• Kimberly Kay Shara, DR OF CHIROPRACTIC
• Michael J Shara, D.C.
• Shawnee Mission Health Care, Inc
• Shawnee Mission Medical Center Inc

• Pediatrics Physician in Merriam, KS
• Providers in Merriam, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.