DONALD SHAFFER PA-C NPI 1639109051

NPI Information

NPI: 1639109051
Provider Name: DONALD SHAFFER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
41100 FOX RUN
NOVI, MI
ZIP 48377
Phone: (248) 668-8650
Get Directions

Donald Shaffer, PA-C is a medical physician assistant in Novi, MI. Donald Shaffer, PA-C NPI is 1639109051. 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:

41100 FOX RUN
NOVI, MI
ZIP 48377-804
Phone: (248) 668-8650
Fax: (248) 668-8651

The enumeration date for this NPI number is 7/3/2006 and was last updated on 5/6/2015.

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
1	363AM0700X	Physician Assistant	Medical	5601002860	MICHIGAN	Yes

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 Issuer
1	P25108	MEDICARE UPIN
2	83-05251	OTHER	EVERCARE
3	DS002860	OTHER	BCBS MI
4	M99950013	MEDICARE PIN
5	1158217680	OTHER	BCBS MI
6	970025661	MEDICARE PIN

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: 11/14/2023

NPI Synchronization or Removal

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