KELLEY SHAFFER (NPI# 1538782677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538782677 |
Entity Type | Individual |
Full Name | KELLEY SHAFFER |
Credential | PA-C |
Practice Address |
3220 Parkwood Blvd Frisco TX 75034-1917 |
Practice Telephone | 9726683990 |
Mailing Telephone | 9726683990 |
Enumeration Date | 2020-05-23 |
Last Update Date | 2020-05-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA REGISTRATION NUMBER | MS5880112 | 01 | |
TX | PHYSICIAN ASSISTANT LICENSE | PA13393 | 01 |
Street Address |
3220 PARKWOOD BLVD |
City | FRISCO |
State | TX |
Zip Code | 75034-1917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780670315 | Obiora M Ekweani | Internal Medicine | 3220 Parkwood Blvd, Frisco, TX 75034 | 2005-09-20 |
1093323164 | Haylee Elizabeth Hughes | Physician Assistant | 3220 Parkwood Blvd, Frisco, TX 75034-1917 | 2020-07-15 |
1568865434 | Meagan Duncan | Physician Assistant | 3220 Parkwood Blvd, Frisco, TX 75034-1917 | 2014-10-06 |
1730523580 | Stonebriar Pharmacy | Pharmacy | 3220 Parkwood Blvd, Frisco, TX 75034-1917 | 2013-04-24 |
1013031095 | Obiora M Ekweani Md, Pa | Clinic/Center | 3220 Parkwood Blvd, Frisco, TX 75034 | 2007-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
Find all providers in zip 75034 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730638552 | Lindsay Svehla | Physician Assistant | 11560 Teel Pkwy # 100, Frisco, TX 75033-4430 | 2016-09-22 |
1750643821 | Natalia Watts | Physician Assistant | 4461 Coit Rd Ste 100, Frisco, TX 75035-0522 | 2012-06-13 |
1477782761 | Lauren Davis Stewart | Physician Assistant | 8600 Gaylord Pkwy Ste 1, Frisco, TX 75034-8575 | 2009-07-07 |
1144425612 | Gabriel Raymond Nanagas | Physician Assistant | 3211 Preston Rd Ste 5, Frisco, TX 75034-9020 | 2007-06-15 |
1770664690 | Marion E Bauer | Physician Assistant | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2006-10-18 |
1225699986 | Natalie Hammond | Physician Assistant | 1350 Main St, Frisco, TX 75033-4348 | 2019-06-24 |
1669941498 | Ashley Rios | Physician Assistant | 4461 Coit Rd Ste 307, Frisco, TX 75035-0525 | 2018-11-22 |
1073035812 | Adrianne Bailey | Physician Assistant | 7000 Parkwood Blvd Ste F100, Frisco, TX 75034-7407 | 2017-07-13 |
1679927511 | Brittany Dixon | Physician Assistant | 5575 Warren Pkwy, Suite #104, Frisco, TX 75034-4062 | 2016-04-18 |
1699172734 | Nhung Lao-mai | Physician Assistant | 3550 Parkwood Blvd, Frisco, TX 75034-1903 | 2014-12-03 |
Find all providers in FRISCO |
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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.