Active NPIIndividual provider

Simon-Peter Shaffer, PA

Physician Assistant in Industry, Maine

NPI Number1730361577
Practice location
64 Henderson Cv RD, Industry, ME 04938-4579
Fax
207-778-5580
Last updated
January 8, 2010

Simon-Peter Shaffer is a Physician Assistant based in Industry, ME. Simon-Peter Shaffer practices in Industry, ME and has the professional credentials of PA. The NPI Number for Simon-Peter Shaffer is 1730361577 and holds a License No. PA203 (ME). The current practice location address for Simon-Peter Shaffer is 64 Henderson Cv RD, Industry, ME 04938-4579 and can be reached out via phone at 207-778-5542 and via fax at 207-778-5580.

Provider Profile Details

NPI Number
1730361577
Provider Name
Simon-Peter Shaffer
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
64 Henderson Cv RD, Industry, ME 04938-4579
Phone Number
207-778-5542
Fax Number
207-778-5580
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 4, 2007
Last Update Date
January 8, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Henderson Cv RD
Industry, ME 04938-4579
State
Maine
Zip
04938-4579
Phone Number
207-778-5542
Fax Number
207-778-5580
Industry, ME 04938Get directions →

Provider Business Mailing Address Details

Address
64 Henderson Cv RD
Industry, ME 04938-4579
City
Industry
State
ME
Zip
04938-4579
Phone Number
207-778-5542
Fax Number
207-778-5580

License Information

License Number (1)
PA203
License State (1)
ME
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
085.003662
License State (2)
IL
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Simon-Peter Shaffer, PA?

The NPI number of Simon-Peter Shaffer, PA is 1730361577. It was assigned on December 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Simon-Peter Shaffer, PA?

Simon-Peter Shaffer, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA203.

Where does Simon-Peter Shaffer, PA practice?

The practice location is 64 Henderson Cv RD, Industry, ME 04938-4579. The office can be reached at 207-778-5542 (phone) or 207-778-5580 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730361577 directly on the NPPES registry website.

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