Active NPI
Leon Shaffold
- Non-emergency Medical Transport (VAN)
- Garfield HTS, OH
National Provider Identifier
1982011243
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 188735
- Practice address
- 12600 Rockside Rd
Garfield HTS, OH 44125-4525 - Phone
- (216) 510-4984
- NPI assigned
- Jul 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 188735 | OH | Primary |
Addresses
Primary practice location
12600 Rockside Rd
Garfield HTS, OH 44125-4525
Mailing address
12600 Rockside Rd
Garfield HTS, OH 44125-4525
Phone (216) 510-4984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3148338 | Medicaid | OH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188735 | OH | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1982011243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 ROCKSIDE RD",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441254525",
"telephone_number": "216-510-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 ROCKSIDE RD",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441254525",
"telephone_number": "216-510-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFOLD",
"first_name": "LEON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-18",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "188735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3148338",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.