DR. JOHN V SHUFFLEBARGER (NPI# 1083698112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083698112 |
Entity Type | Individual |
Full Name | DR. JOHN V SHUFFLEBARGER |
Credential | M.D. |
Practice Address |
281 Lincoln St Department of Plastic & Reconstructive Surgery Worcester MA 01605-2138 |
Mailing Address |
Po Box 415348 Boston MA 02241-0001 |
Practice Telephone | 5083345952 |
Practice Fax Number | 5083345752 |
Mailing Telephone | 8002258885 |
Mailing Fax Number | 5083341977 |
Enumeration Date | 2005-12-02 |
Last Update Date | 2011-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
79920 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3130100 | 05 |
Street Address |
281 LINCOLN ST DEPARTMENT OF PLASTIC & RECONSTRUCTIVE SURGERY |
City | WORCESTER |
State | MA |
Zip Code | 01605-2138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760477624 | David Miguel Hinkle | Ophthalmology | 281 Lincoln St, Worcester, MA 01605-2138 | 2005-09-16 |
1124589726 | Devyn Mcrae | Physical Therapy Assistant | 281 Lincoln St, Worcester, MA 01605-2138 | 2019-03-27 |
1821552845 | Edgar Urbina | Physical Therapist | 281 Lincoln St, Worcester, MA 01605-2192 | 2019-01-23 |
1437620317 | Elizabeth Anne Gingras | Physician Assistant | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-12-17 |
1407332216 | Moira Quinn | Nurse Practitioner | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-07-15 |
1669966693 | Ana P Bonaldi | Optometrist | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-06-22 |
1992292130 | Soraiya Thura | Student in an Organized Health Care Education/Training Program | 281 Lincoln St, Worcester, MA 01605 | 2018-04-13 |
1689179111 | Suhas Sreeharshan | Student in an Organized Health Care Education/Training Program | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-03-27 |
1386149276 | Apoorva Trivedi | Student in an Organized Health Care Education/Training Program | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-03-24 |
1912401886 | Keely Elizabeth Moore | Speech-Language Pathologist | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-03-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
Find all providers in zip 01605 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144480401 | Joyce K. Mcintyre | Surgery | 281 Lincoln St, Department of Plastic Surgery, Worcester, MA 01605-2138 | 2008-06-11 |
1780720409 | Fadi Nukta | Surgery | 281 Lincoln St, Department of Surgery/plastic Surgery, Worcester, MA 01605-2138 | 2007-01-29 |
1407903537 | Anselm Wong | Surgery | 281 Lincoln St, Worcester, MA 01605-2138 | 2007-01-04 |
1578547600 | Douglas M Rothkopf | Surgery | 281 Lincoln St, Department of Plastic & Reconstructive Surgery, Worcester, MA 01605-2138 | 2005-12-01 |
1225012347 | Raymond M Dunn | Surgery | 55 Lake Ave N, Department of Plastic & Reconstructive Surgery, Worcester, MA 01655-0002 | 2005-12-01 |
1912980087 | Janice F Lalikos | Surgery | 281 Lincoln St, Department of Plastic Surgery, Worcester, MA 01605-2138 | 2005-11-22 |
1275523623 | Mustafa Akyurek | Surgery | 281 Lincoln St, Department of Plastic Surgery, Worcester, MA 01605-2138 | 2005-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
1336792498 | Dexterity Hand Surgery, LLC | Surgery | 100 Unicorn Park Dr Ste 102, Woburn, MA 01801-3379 | 2019-07-18 |
1528280203 | Plastic Surgery Specialists | Surgery | 332 Washington St., Wellesley, MA 02481 | 2007-05-03 |
1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
1750423711 | Curtis Ngau | Surgery | 231 Worcester Rd, Framingham, MA 01701-5346 | 2007-02-13 |
1821195439 | Richard A Peinert | Surgery | Post Office Square, Lynnfield Medical Build, Lynnfield, MA 01940 | 2006-09-19 |
1710095559 | Katherine D Hein Md PC | Surgery | 117 West Central Street, Suite 203, Natick, MA 01760 | 2006-08-29 |
1598780363 | Katherine D Hein | Surgery | 117 W Central Street, Suite 203, Natick, MA 01760-4383 | 2006-07-13 |
1831138825 | Kenneth A Marshall | Surgery | 204 Worcester St, Wellesley Hills, MA 02481-5420 | 2006-06-05 |
1932148939 | Sumner A Slavin | Surgery | 200 Boylston St Ste 307, Chestnut Hill, MA 02467-2008 | 2006-06-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.