Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992811046 Individual Practitioner Female Practitioner

Dr. Callie E Shaffer , MD

Pediatrics • Mount Vernon, KY

Professional Overview & Biography Verified Profile Summary

Dr. Callie Shaffer, MD is a registered healthcare professional specializing in Pediatrics in Mount Vernon, KY. Practice services are available at 140 NEWCOMB AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 Newcomb Ave

Mount Vernon, KY 404562728

Telephone 6062564148
Fax 6062567785
Associated Practice Facility / Clinic
🏢 Central Kentucky Surgery, Psc Facility NPI 1881778397

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mount Vernon, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Mount Vernon, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 38737

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
64087299 (KY)
Medicaid State Provider ID
7100081050 (KY)
Commercial Insurance / Payer ID Anthem Bc/bs
000000337528 (KY)
Commercial Insurance / Payer ID Cha
1217376 (KY)
Commercial Insurance / Payer ID Medical License Number
38737 (KY)
Commercial Insurance / Payer ID Tax Id (Effect. 01/01/10)
27-0496454 (KY)
Commercial Insurance / Payer ID Dept Of Labor
000000475691 (KY)
Commercial Insurance / Payer ID Anthem Pin (Effect. 01/01/10)
637591 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Brandon Cowan , MD

Family Medicine

NPI 1003212630

Doctor of Medicine (M.D.)

NPI 1033471750

Doctor of Medicine (M.D.)

Courtney Browning , APRN, PNP-BC

Nurse Practitioner - Pediatrics

NPI 1114271558

Advanced Practice Registered Nurse, Pediatric Nurse Practitioner (Board Certified)

Dr. David Brabon , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1235280579

Doctor of Medicine (M.D.)

Deana Hale , PA

Physician Assistant

NPI 1285080366

Physician Assistant

NPI 1316983109

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2010

Registered at 140 NEWCOMB AVE, MOUNT VERNON, KY 404562728 (Tel: 6062564148)

📍
Updated Business Mailing Address November 11, 2010

Registered at PO BOX 1525, MOUNT VERNON, KY 404561525 (Tel: 6062564148)

👤
Provider Name / Credentials Updated November 11, 2010

Recorded as CALLIE SHAFFER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2010

Pediatrics (License #38737 in KY)

🟢
Initial NPI Registration & Enumeration August 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992811046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

Po Box 1525

Mount Vernon, KY 404561525

Phone: 6062564148

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.