Search › Indiana › 2084N0400X
Johnathon Shaffer, MD
NPI 1598129678 · on the registry since 2016
Practice
- Address
- 583 S Clarizz Blvd
Bloomington, IN 47401 - Phone
- (812) 676-4460
- Fax
- (812) 355-4092
- Organisation at this address
- Orthopedics Of South Central Indiana Llc
Indiana University Health Southern Indiana Physicians, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Additional practice sites
- 6801 Park Ter # 250, Los Angeles, CA
- 22 S Greene St Rm N3e09, Baltimore, MD
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Also registered as
- 207X00000X
390200000X - Licence states on file
- CA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana