MARK E. SHAFFREY (NPI# 1417026055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417026055 |
| Entity Type | Individual |
| Full Name | MARK E. SHAFFREY |
| Practice Address |
Lee St Charlottesville VA 22908-0001 |
| Mailing Address |
500 Ray C Hunt Dr Charlottesville VA 22903-2981 |
| Practice Telephone | 4349240000 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0101043095 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
LEE ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565289 | Cornelius W. Thomas | Counselor | Lee St, Charlottesville, VA 22908-0001 | 2005-08-12 |
| 1447522263 | Rebecca D. Lehman | Physician Assistant | Lee St, Charlottesville, VA 22908-0001 | 2012-02-09 |
| 1487814919 | Amanda J Russell-kleiner | Internal Medicine | Lee St, Charlottesville, VA 22908-0001 | 2008-06-09 |
| 1295902211 | Megan L. Madaras | Hospitalist | Lee St, Charlottesville, VA 22908-0001 | 2008-05-08 |
| 1972790723 | Evelyn Joran-thiel | Nurse Practitioner | Lee St, 4th Floor, Charlottesville, VA 22908-0001 | 2007-09-26 |
| 1942412663 | Cheryl L. Gaughen | Anesthesiology | Lee St, 2nd Floor, Charlottesville, VA 22908-0001 | 2007-05-04 |
| 1417173733 | Dorothy A. Rudolph | Social Worker | Lee St, Uva Dept of Family Medicine, Charlottesville, VA 22908-0001 | 2007-04-17 |
| 1912022831 | Kenneth Leroy Blair | Physician Assistant | Lee St, Charlottesville, VA 22908-0001 | 2007-03-20 |
| 1356465496 | Lindley O. Banner | Nurse Practitioner | Lee St, Charlottesville, VA 22908-0001 | 2007-03-16 |
| 1750405817 | Janet Dix | Nurse Practitioner | Lee St, Charlottesville, VA 22908-0001 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730414749 | Min S Park | Neurological Surgery | 1300 Jefferson Park Ave Fl 3, Charlottesville, VA 22903-3363 | 2009-10-08 |
| 1871784892 | Russell C Bailey | Neurological Surgery | 1221 Lee Street Ground Floor, Charlottesville, VA 22908-0001 | 2007-08-06 |
| 1972644433 | Jaideep Kapur | Neurological Surgery | 1221 Lee Street Ground Fl, Charlottesville, VA 22908-0001 | 2007-02-09 |
| 1841388048 | Vinko V. Dolenc | Neurological Surgery | Uva Primary Care Ctr, Lee Street, Ground Floor, Charlottesville, VA 22908-0001 | 2006-10-11 |
| 1013950047 | Dennis G. Vollmer | Neurological Surgery | 415 Ray C. Hunt Dr, Charlottesville, VA 22903-0001 | 2006-06-14 |
| 1700491917 | Bruno Coelho Da Rocha Lazaro | Neurological Surgery | 200 Jeanette Lancaster Way, Charlottesville, VA 22903-3388 | 2020-09-14 |
| 1467916924 | Francesco Prada | Neurological Surgery | 4105 Lewis and Clark Dr, Charlottesville, VA 22911-5801 | 2019-01-29 |
| 1275924235 | James T. Rutka | Neurological Surgery | Lee Street Ground Floor, Charlottesville, VA 22908-0001 | 2015-02-12 |
| 1609284595 | Houssien Darwish | Neurological Surgery | 1215 Lee St, Charlottesville, VA 22908-0136 | 2014-07-24 |
| 1376805218 | Ryan Thomson Kellogg | Neurological Surgery | 1221 Lee St, Charlottesville, VA 22903 | 2012-06-15 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
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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.