James D Shaffer (NPI# 1104058387, PAC ID# 0547306060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104058387 |
| PAC ID by PECOS | 0547306060 |
| Professional Enrollment ID | I20091013000714 |
| Full Name | James D Shaffer |
| Organization Legal Name | LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC |
| Address |
802 Landmark Dr Suite 129 Glen Burnie MD 21061-9121 |
| Phone Number | 4108634899 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7618108119 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 | 4108634899 | LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC |
| 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208-7103 | 4106027782 | LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC |
| Organization Legal Name | LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Fang | Nurse Practitioner | Lifebridge Community Gastroenterology LLC | 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208-7103 |
| Todd Heller | Gastroenterology | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Aminat Oluyemi | Gastroenterology | Lifebridge Community Gastroenterology LLC | 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208-7103 |
| Calvin Parker | Gastroenterology | Lifebridge Community Gastroenterology LLC | 4801 Dorsey Hall Dr, Suite 220, Ellicott City, MD 21042-7749 |
| Loc Trong Le | Gastroenterology | Lifebridge Community Gastroenterology LLC | 1838 Greene Tree Rd, Suite 180, Pikesville, MD 21208-7100 |
| Moncheri H Adebayo | Nurse Practitioner | Lifebridge Community Gastroenterology LLC | 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208-7103 |
| Edward Wolf | Gastroenterology | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Kenolisa C Onwueme | Internal Medicine | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Eric B Blum | Internal Medicine | Lifebridge Community Gastroenterology LLC | 1838 Greene Tree Rd, Suite 180, Pikesville, MD 21208-7100 |
| Arjun Vaid | Gastroenterology | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Street Address |
802 LANDMARK DR SUITE 129 |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-9121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Heller | Gastroenterology | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Edward Wolf | Gastroenterology | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Kenolisa C Onwueme | Internal Medicine | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Arjun Vaid | Gastroenterology | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Michael Stanley Siuta | Gastroenterology | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Ernest Tsao | Gastroenterology | Lifebridge Community Gastroenterology LLC | 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLEN BURNIE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on James D Shaffer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.