Active NPI
Jonathon B Shaffer, MD
- Internal Medicine Physician
- Sugar Land, TX
National Provider Identifier
1952367575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H2965
- Practice address
- 16651 SW Freeway
Suite 100
Sugar Land, TX 77479 - Phone
- (281) 494-4900
- Fax
- (281) 494-4905
- NPI assigned
- Apr 22, 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 | H2965 | TX | Primary |
Addresses
Primary practice location
16651 SW Freeway
Suite 100
Sugar Land, TX 77479
Mailing address
16651 SW Freeway
Suite 100
Sugar Land, TX 77479
Phone (281) 494-4900
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 |
|---|---|---|---|
| H2965 | TX | MD | Internal Medicine Physician |
Interoperability endpoints
- jshaffer91304@directhoustonmethodist.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952367575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16651 SW FREEWAY",
"address_2": "SUITE 100",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77479",
"telephone_number": "281-494-4900",
"fax_number": "281-494-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16651 SW FREEWAY",
"address_2": "SUITE 100",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77479",
"telephone_number": "281-494-4900",
"fax_number": "281-494-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "JONATHON",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H2965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
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.