Individual
JOHN W SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7200
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-041309
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000205302
UNISON
OH
01
—
000000503700
ANTHEM
OH
01
—
0372681
BCMH
OH
05
—
0372681
—
OH
01
—
0640174
AETNA
OH
01
—
364000
WELLCARE
OH
01
—
738096
BUCKEYE
OH
01
—
P00011031
RAILROAD MEDICARE
OH
01
—
P00353702
RAILROAD MEDICARE
OH
Enumeration date
07/12/2006
Last updated
02/15/2012
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