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

Timothy Jason Shaeffer

Individual provider Independent Duty Corpsman · NPI 1568424638

Timothy Jason Shaeffer is an Independent Duty Corpsman in Charlestown, Massachusetts. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

Building 5 Charlestown Navy Yard Uss Constitution
Charlestown, MA 02129-1797
Phone: (617) 799-8194
Fax: (617) 242-2308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1568424638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESDecember 27, 2010
Mailing address34 Wildwood Ln, Waltham, MA 02451-1859