JENNIFER SHAFFER (NPI# 1831358597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831358597 |
| Entity Type | Individual |
| Full Name | JENNIFER SHAFFER |
| Practice Address |
11104 Parkview Circle Dr Suite 410 Fort Wayne IN 46845-1730 |
| Mailing Address |
1234 E Dupont Rd Ste 1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2602665260 |
| Practice Fax Number | 2602665269 |
| Mailing Telephone | 2603739728 |
| Mailing Fax Number | 2604585664 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01071493 | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 11013246A | IN | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 0000005503 | 01 |
| IN | ANTHEM | 000000775494 | 01 |
| IN | 201083490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063764 | Jennifer Shaffer | Technician | 3523 Jackson Farm Rd, Hopewell, VA 23860-4004 | 2019-10-04 |
| 1124679675 | Jennifer Lynn Shaffer | Technician | 2635 E Carson St Apt 241, Pittsburgh, PA 15203-5120 | 2019-09-26 |
| 1710097944 | Jennifer Anne Shaffer | Social Worker | 2955 Ridgelake Dr, Ste 204, Metairie, LA 70002-4962 | 2006-08-30 |
| 1629630553 | Jennifer R Shaffer | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2019-07-01 |
| 1790283711 | Jennifer Shaffer | Behavior Technician | 187 E Wilbur Rd Ste 6, Thousand Oaks, CA 91360-7928 | 2018-01-24 |
| 1881009454 | Jennifer May Shaffer | Physician Assistant | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2014-06-23 |
| 1609291814 | Jennifer Shaffer | Pharmacist | 5200 Nw 43rd St, Gainesville, FL 32606-4484 | 2014-02-25 |
| 1407915671 | Jennifer A Shaffer | Registered Nurse | 120 Bellview Ave, Winchester, VA 22601-3142 | 2006-12-06 |
| Street Address |
11104 PARKVIEW CIRCLE DR SUITE 410 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621641 | Thomas J. Curfman | Psychiatry & Neurology | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1174124143 | Ellen Nicole Eckhart | Physical Therapist | 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 | 2020-11-05 |
| 1912508169 | Bryson James Robuck | Registered Nurse | 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 | 2020-11-04 |
| 1568062644 | Brandi Nicolette-baker | Occupational Therapist | 11104 Parkview Circle Dr, Suite 050, Fort Wayne, IN 46845-1733 | 2020-10-28 |
| 1649723818 | April Jeanne Jenkins | Nurse Practitioner | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1673 | 2016-07-25 |
| 1497111991 | Janelle Miller | Nurse Practitioner | 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 | 2016-01-13 |
| 1770957680 | Kathleen O'keefe | Registered Nurse | 11104 Parkview Circle Dr, Ste. 310, Fort Wayne, IN 46845-1672 | 2015-11-17 |
| 1114302056 | Christy Ann Auld | Nurse Practitioner | 11104 Parkview Circle Dr, Suite 410, Fort Wayne, IN 46845-1672 | 2015-07-21 |
| 1790169233 | Blair Fifer | Nurse Practitioner | 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 | 2015-07-15 |
| 1013318427 | Andrea Jantson Smith | Physical Therapist | 11104 Parkview Circle Dr, Fort Wayne, IN 46845 | 2014-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528265709 | Sleep Centers of Fort Wayne LLC | Internal Medicine | 7223 Engle Rd Ste 110, Fort Wayne, IN 46804-2239 | 2007-06-29 |
| 1497858666 | Thomandram Sekar, Md, PC | Internal Medicine | 2910 Lake Ave, Fort Wayne, IN 46805-5416 | 2006-09-06 |
| 1235183203 | Rami S Wali | Internal Medicine | 2510 E Dupont Rd Ste 108, Fort Wayne, IN 46825-1601 | 2006-05-22 |
| 1174575047 | John B Fouts | Internal Medicine | 1818 Carew St., Suite 110, Fort Wayne, IN 46805-4764 | 2006-05-17 |
| 1386183614 | Ahmed M Sharaan | Internal Medicine | 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845-0025 | 2017-02-20 |
| 1184010050 | Martin Engman | Internal Medicine | 5917 Hallowell Pl, Fort Wayne, IN 46815-6214 | 2015-04-08 |
| 1316386386 | Georges Debal | Internal Medicine | 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845 | 2013-06-22 |
| 1043567886 | Bharat Bajantri | Internal Medicine | 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845 | 2012-08-10 |
| 1245527803 | Fahim Zaman Khan | Internal Medicine | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-07-05 |
| 1316069164 | Thomas Eldon Hayhurst | Internal Medicine | 4813 New Haven Ave, Fort Wayne, IN 46803-3018 | 2007-04-04 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.