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TIMOTHY JASON SHAEFFER
NPI 1568424638
Military Health Care Provider - Independent Duty Corpsman in Charlestown, MA

Active since April 04, 2006
BUILDING 5, CHARLESTOWN NAVY YARD, USS CONSTITUTION, CHARLESTOWN, MA 02129(617) 799-8194(617) 242-2308 Get Directions Write a Review

NPPES record last updated: December 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Jason Shaeffer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JASON SHAEFFER (NPI 1568424638) is an individual independent duty corpsman provider in Charlestown, Massachusetts and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1568424638
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTIMOTHY JASON SHAEFFER
Location AddressBUILDING 5, CHARLESTOWN NAVY YARD, USS CONSTITUTIONCharlestown, MA 02129-1797
Mailing Address34 Wildwood LnWaltham, MA 02451-1859 · (617) 799-8194 · Fax (617) 242-2308
Phone(617) 799-8194
Fax(617) 242-2308
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateDecember 27, 2010
✔ NPI 1568424638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
BUILDING 5, CHARLESTOWN NAVY YARD, Charlestown, MA 02129
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Shaeffer's NPI number?

The NPI number for Timothy Shaeffer is 1568424638. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Timothy Shaeffer located?

Timothy Shaeffer practices at Building 5, Charlestown Navy Yard Uss Constitution, Charlestown, MA 02129. The listed phone number is (617) 799-8194.

What is Timothy Shaeffer's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Timothy Shaeffer was last updated on December 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.