Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. James Daniel Shaffer, PA

Individual provider Physician Assistant · NPI 1104058387

Mr. James Daniel Shaffer, PA is a Physician Assistant in Baltimore, Maryland. Qualified in 2009, 17 years ago. Practices with Lifebridge Community Gastroenterology LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
17
Licensed in
MD
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1838 Greene Tree Rd Ste 400
Baltimore, MD 21208-6391
Phone: (410) 602-7782
Fax: (410) 602-9344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C04032 (MD)

Record details

NPI number1104058387
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2009
Last updated in NPPESAugust 20, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Lifebridge Community Gastroenterology Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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