JOHNATHON PATRICK SHAFFER MD NPI 1598129678

NPI Information

  • NPI: 1598129678
  • Provider Name: JOHNATHON PATRICK SHAFFER, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 583 S CLARIZZ BLVD
    BLOOMINGTON, IN
    ZIP 47401
  • Phone: (812) 676-4460

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NPI Details

Johnathon Patrick Shaffer, MD is a neurology psychiatry neurology in Bloomington, IN with 11 years of experience. The provider is 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. Johnathon Patrick Shaffer, MD NPI is 1598129678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

583 S CLARIZZ BLVD
BLOOMINGTON, IN
ZIP 47401-515
Phone: (812) 676-4460
Fax: (812) 355-4092

The NPI 1598129678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)

The enumeration date for this NPI number is 4/5/2016 and was last updated on 7/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryA167677CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32084N0400XPsychiatry & NeurologyNeurology01085483AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1090540643OTHERINDIANAMEDICARE PTAN
2000001581445OTHERINDIANAANTHEM PTAN
3300053899MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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