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Johnathon Patrick Shaffer, MD
Neurology Physician in Bloomington, Indiana
NPI 1598129678

Johnathon Patrick Shaffer is a Neurology Physician based in Indianapolis, IN and is specialized in Neurology. Johnathon Patrick Shaffer practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Johnathon Patrick Shaffer is 1598129678 and holds a License No. A167677 (Indiana).

The current practice location address for Johnathon Patrick Shaffer is 583 S Clarizz Blvd, Bloomington, IN and can be reached out via phone at 812-676-4460 and via fax at 812-355-4092.

Location: 583 S Clarizz Blvd, Bloomington, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598129678
Provider Name
Johnathon Patrick Shaffer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
583 S Clarizz Blvd, Bloomington, IN, 46219-4959
Phone Number
812-676-4460
Fax Number
812-355-4092
Provider Enumeration Date
04/05/2016
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
090540643 01 IN MEDICARE PTAN
000001581445 01 IN ANTHEM PTAN
300053899 05 IN
institution
Provider Business Practice Location Address Details
Address
583 S Clarizz Blvd
City
Bloomington
State
Indiana
Zip
47401-5515
Phone Number
812-676-4460
Fax Number
812-355-4092
person
Provider Business Mailing Address Details
Address
583 S Clarizz Blvd
City
Bloomington
State
Indiana
Zip
47401-5515
Phone Number
812-676-4460
Fax Number
812-355-4092
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
01085483A (Indiana)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A167677 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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