Callie E Shaffer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

38737 Issued in KY

Practice address

140 Newcomb Ave
Mount Vernon, KY 40456-2728

Phone

(606) 256-4148

Fax

(606) 256-7785

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: rvicshaffe@yourcarecommunity.org
• Direct secure messaging: callie.shaffer@rpa.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1780961300
  NPD (past)
• Rockcastle County Hospital, Inc.

  • Rural Health Clinic/Center
  • Mount Vernon, KY
  • NPI 1205177912
  NPD (past)
• Rockcastle Ventures Inc. D.B.a. Callie Shaffer, M.D.

  • Pediatric Adolescent Medicine Physician
  • Mount Vernon, KY
  • NPI 1962525402
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992811046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1525",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404561525",
            "telephone_number": "606-256-4148",
            "fax_number": "606-256-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562728",
            "telephone_number": "606-256-4148",
            "fax_number": "606-256-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "CALLIE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "38737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID (EFFECT. 01/01/10)",
            "identifier": "27-0496454",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN (EFFECT. 01/01/10)",
            "identifier": "637591",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100081050",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000337528",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1217376",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "38737",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64087299",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "000000475691",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic
• Michael Kevin Rowe, MD
• Emily Kay Saylor
• John L Saylor, MD
• Karen B Saylor, M.D.
• Angela Joy Silva, MA, LPCC-S
• Evan Phillip Singleton, MD
• Small Bridges Counseling
• Anthony Griffith Smith, ARNP
• Larry R Smith, D.C.

• Pediatrics Physician in Mount Vernon, KY
• Providers in Mount Vernon, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.