Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d.
Pediatric Adolescent Medicine
Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. is a Mount Vernon, Kentucky based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. is doing business as
Callie Shaffer, M.d..
It is located at
140 Newcomb Ave, Mount Vernon, Kentucky - 40456-2728. They can be contacted on phone at
606-256-4148.
NPI number (Unique professional ID) for Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. is
1962525402 which was assigned by NPPES on 09 Apr, 2007 and it was last updated on 22 Aug, 2020.
Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. |
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| Other Name : | Callie Shaffer, M.d. |
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Business Address:
Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 140 Newcomb Ave
Mount Vernon, KY, 40456-2728
United States |
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| Phone Number : | 606-256-4148 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1962525402 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 09 Apr, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Brandyl. Bullock |
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| Official Title or Position : | DIRECTOR |
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| Phone Number : | 606-256-7761 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. are as mentioned. Primary taxonomy code for Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 65942690 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1525
Mount Vernon, KY, 40456-1525
United States |
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| Phone Number : | 606-256-4148 |
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Business Location:
Patients can refer following map for directions to
Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.