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Organization

HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA

Active
Other names
Heartland Dermatology Center, PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW P SHAFFER MD (PRESIDENT)
(785) 577-4448
Entity
Organization

Contact information

Practice address
828 ELMHURST BLVD, SALINA, KS 67401-7406
(785) 827-2500
(785) 827-2515
Mailing address
9300 E 29TH ST N STE 310, WICHITA, KS 67226-2160
(316) 612-1833
(316) 612-2420

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110060
BCBS (HAYS LOCATION)
KS
01
110061
BCBS (GREAT BEND LOCATION
KS
01
110942
BCBS (SALINA LOCATION)
KS
01
623450
FIRST GUARD
KS
01
C54705
RAILROAD MEDICARE
KS
Enumeration date
02/23/2006
Last updated
10/21/2025
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