CALLIE SHAFFER, M.D.
NPI 1962525402
Pediatrics - Adolescent Medicine in Mount Vernon, KY

Active since April 09, 2007
140 NEWCOMB AVE, MOUNT VERNON, KY 40456(606) 256-4148 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Callie Shaffer, M.d. NPPES

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

CALLIE SHAFFER, M.D. (NPI 1962525402) is a healthcare organization registered as an adolescent medicine in Mount Vernon, Kentucky and active in the NPI registry since April 2007. The organization lists Brandy L. Bullock, Director, as its authorized official.

NPPES Registry Identity

NPI1962525402
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameROCKCASTLE VENTURES INC. D.B.A. CALLIE SHAFFER, M.D.
Location Address140 NEWCOMB AVEMount Vernon, KY 40456-2728
Mailing AddressPo Box 1525Mount Vernon, KY 40456-1525 · (606) 256-4148
Organization SubpartNo
Authorized OfficialBrandy L. BullockDirector · (606) 256-7761
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1962525402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who 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.
140 NEWCOMB AVE, Mount Vernon, KY 40456

Other Names 1

Doing Business AsCallie Shaffer, M.d.

Other Identifiers 1

Medicaid65942690KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Physician Assistant
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Nurse Practitioner
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Pediatrics
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Nurse Practitioner (Psychiatric/Mental Health)
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Nurse Practitioner (Obstetrics & Gynecology)
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Nurse Practitioner (Pediatrics)
140 NEWCOMB AVE, SUITE C AND D
MOUNT VERNON, KY 40456
Internal Medicine
140 NEWCOMB AVE
MOUNT VERNON, KY 40456

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 Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D.'s NPI number?

The NPI number for Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D. is 1962525402. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Callie Shaffer, M.D..

Where is Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D. located?

Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D. is located at 140 Newcomb Ave, Mount Vernon, KY 40456. The listed phone number is (606) 256-4148.

What is Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.