Jesse R Shaffer (NPI# 1053647966, PAC ID# 4789724105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053647966 |
| PAC ID by PECOS | 4789724105 |
| Professional Enrollment ID | I20091216000248 |
| Full Name | Jesse R Shaffer |
| Organization Legal Name | PEACEHEALTH |
| Address |
1615 Delaware St Longview WA 98632-2310 |
| Phone Number | 3604142000 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890689293 |
| Number of Group Practice Members | 175 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500041 | PEACHEALTH ST JOHN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1615 Delaware St, Longview, WA 98632-2310 | 3604142000 | PEACEHEALTH |
| 1615 Delaware St, Longview, WA 98632-2367 | 3606364814 | PEACEHEALTH |
| 1660 Delaware St, Longview, WA 98632-2310 | 3604142800 | PEACEHEALTH |
| Organization Legal Name | PEACEHEALTH |
| Physicians | 585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark R Daniels | Nurse Practitioner | Peacehealth | 340 9th St, Florence, OR 97439-9470 |
| Thomas A Caton | Family Medicine | Peacehealth | 380 9th St, Florence, OR 97439-9470 |
| Sneha J Patel | Family Medicine | Peacehealth | 3015 Squalicum Pkwy, Bellingham, WA 98225-1906 |
| Annmarie Campione | Family Medicine | Peacehealth | 1800 Craig Klawock Hwy, Craig, AK 99921 |
| Margareth Saldanha | Sleep Medicine | Peacehealth | 3311 Riverbend Dr, Springfield, OR 97477-8800 |
| Elisabeth Anacius | Family Medicine | Peacehealth | 2801 Nw Mercy Dr, Suite 350, Roseburg, OR 97471-2349 |
| William P Brenton | Nurse Practitioner | Peacehealth | 1218 29th St, Suite B, Anacortes, WA 98221-2701 |
| Jodie E Brewer-peet | Physician Assistant | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| William T Prosser | Certified Registered Nurse Anesthetist (crna) | Peacehealth | 390 9th St, Florence, OR 97439-9470 |
| Andrew F Zink | Obstetrics/gynecology | Peacehealth | 141 Bryant St, Ketchikan, AK 99901-5534 |
| Street Address |
1615 DELAWARE ST |
| City | LONGVIEW |
| State | WA |
| Zip | 98632-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodie E Brewer-peet | Physician Assistant | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Lauren E Tauer | Occupational Therapy | Peacehealth | 1615 Delaware St, Longview, WA 98632-2367 |
| Lynn Renner | Physical Therapy | Peacehealth | 1615 Delaware St, Longview, WA 98632-2367 |
| Riyad Caradog Karmy-jones | General Surgery | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Kim W Stoneking | Family Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Choong R Kim | Radiation Oncology | 1615 Delaware St, Longview, WA 98632-2367 | |
| Yoon Hee Amy Chang | Internal Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Ramona K Sherman | Nurse Practitioner | Peacehealth | 1615 Delaware St, Longview, WA 98632-2367 |
| Peter J Leyzac | Certified Registered Nurse Anesthetist (crna) | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Donna K Lynds | Nurse Practitioner | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick M Lassen | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| John T Mansfield | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Chad C Chesley | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Saeyeal K Lee | Obstetrics/gynecology | Peacehealth | 1660 Delaware St, Longview, WA 98632-2310 |
| Olaseni A Shoroye | Internal Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Jonathan S Adelstein | Psychiatry | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Morgan D Evans | Family Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| James J Nakashima | Rheumatology | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Tyson M Campbell | Family Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Gaurav Y Gandhi | Internal Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Find all physicians in zip 98632 | |||
| City | LONGVIEW |
| Zip Code | 98632 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LONGVIEW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jesse R 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.