Dr. Kenneth Mark Shaffer
M.D. | Pediatric Cardiology | Male
Dr. Kenneth Mark Shaffer, M.D. is a Austin, Texas based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Kenneth Mark Shaffer is
4314 Medical Pkwy, Ste 200, Austin, Texas - 78756-3334. He can be contacted on phone at
512-454-1110.
Dr. Kenneth Mark Shaffer is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kenneth Mark Shaffer is
1922062652 which was assigned by NPPES on 12 Apr, 2006 and it was last updated on 09 Jul, 2007.
Dr. Kenneth Mark Shaffer license number is
J2908 for Pediatrics Pediatric Cardiology (2080P0202X) in Texas.
Dr. Kenneth Mark Shaffer provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Kenneth Mark Shaffer basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Dr. Kenneth Mark Shaffer |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Kenneth Mark Shaffer 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 : | 4314 Medical Pkwy, Ste 200
Austin, TX, 78756-3334
United States |
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| Phone Number : | 512-454-1110 |
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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 : | 1922062652 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Apr, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Medicare Participation:
Dr. Kenneth Mark Shaffer participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3971557000 |
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| Medicare Enrollment ID : | I20050310000737 |
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| Primary Specialty : | Cardiovascular Disease (cardiology) |
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| Medical School : | Johns Hopkins University School Of Medicine |
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| Graduation Year : | 1990 |
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| Accepts Medicare? | Yes. Dr. Kenneth Mark Shaffer accepts medicare insurance. |
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Group Practice Association:
Dr. Kenneth Mark Shaffer is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kenneth Mark Shaffer is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Magella Medical Associates Billing Inc | 8729970215 | 43 | 1301 Medical Pkwy
Suite 320
Cedar Park, TX - 786132305
Ph: 5122607867 | Yes |
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 Dr. Kenneth Mark Shaffer are as mentioned. Primary taxonomy code for Dr. Kenneth Mark Shaffer, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | J2908 | TX |
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 : | 4314 Medical Pkwy Ste 200
Austin, TX, 78756-3332
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Kenneth Mark Shaffer 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.