Paul Tanner Shaffer
Paul Tanner Shaffer is a Podiatry in Salem, Wisconsin. Qualified in 2019, 7 years ago. Practices with Cascade Orthopedics and Sports Medicine Center, PC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.
- Years since qualifying
- 7
- Licensed in
- IL, WI
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
25320 75th StSalem, WI 53168-9684
Phone: (262) 843-2336
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2160 S 1st Ave, Maywood, IL 60153-3328 — (312) 567-2000
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 1368 (WI) |
|---|---|
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X · Licence 135001034 (IL) |
Record details
| NPI number | 1528529187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2019 |
| Last updated in NPPES | June 1, 2026 |
| Certification date | June 1, 2026 |
| Mailing address | Po Box 735044, Chicago, IL 60673-5044 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Cascade Orthopedics And Sports Medicine Center, P.C. — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |