JOSEPH JACOB SHAFFER (NPI# 1427167691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427167691 |
| Entity Type | Individual |
| Full Name | JOSEPH JACOB SHAFFER |
| Credential | M.D. |
| Practice Address |
1215 Town Centre Dr Suite 200 Eagan MN 55123-1033 |
| Mailing Address |
60 Plato Blvd E Suite 270 Saint Paul MN 55107-1827 |
| Practice Telephone | 6512553300 |
| Practice Fax Number | 6512553450 |
| Mailing Telephone | 6512091600 |
| Mailing Fax Number | 6512919169 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 42452 | MN | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
42452 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 061605200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043608326 | Joseph Shaffer | Counselor | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2015-01-08 |
| 1528293834 | Joseph D Shaffer | Specialist/Technologist | 72 Chaffee St, Uniontown, PA 15401-4649 | 2009-05-16 |
| 1891927166 | Joseph Crockett Shaffer II | Pharmacist | 3501 Oleander Dr, Wilmington, NC 28403 | 2009-08-19 |
| Street Address |
1215 TOWN CENTRE DR SUITE 200 |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063489540 | Charles E Pogemiller Sr. | Family Medicine | 1215 Town Centre Dr, Eagan, MN 55123-1033 | 2006-03-03 |
| 1215227590 | Jozef Lazar | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2011-04-07 |
| 1912167487 | Kathryn Colleen Barlow | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2008-06-09 |
| 1013195791 | Sheila Rae Rodstein | Family Medicine | 1215 Town Centre Dr, Eagan, MN 55123-1033 | 2008-02-05 |
| 1730298910 | Kristina Kelly Shaffer | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2006-08-30 |
| 1306955802 | Noel Anthony Hauge | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2006-08-29 |
| 1154386423 | Matthew James Larson | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| Find all providers in zip 55123 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115610 | Dermatology Partners Pllc | Dermatology | 4041 28th St Nw Ste 200, Rochester, MN 55901-7943 | 2020-02-09 |
| 1023460243 | Ji Won Ahn | Dermatology | 200 1st St Sw, Rochester, MN 55905-5902 | 2016-07-12 |
| 1487018263 | Sama Kassira Carley | Dermatology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-07 |
| 1740532340 | Clarus Dermatology Pa | Dermatology | 2603 39th Ave Ne, Suite D-202, Minneapolis, MN 55421-4372 | 2012-10-05 |
| 1598925513 | Ian A Maher | Dermatology | 909 Fulton St Se, Minneapolis, MN 55455 | 2008-06-12 |
| 1235323585 | Bart Theodore Endrizzi | Dermatology | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2007-08-29 |
| 1730206541 | Michael Robert Campoli | Dermatology | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2007-03-25 |
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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.