Johnathon Patrick Shaffer
MD | Neurology | 10+ years Exp
583 S Clarizz Blvd, Bloomington
Indiana, 47401-5515
812-676-4460 812-355-4092
Maps & DirectionsJohnathon Patrick Shaffer is a Bloomington, Indiana based neurologist with 10 years of experience in Neurology. He completed his graduation in 2015. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Johnathon Patrick Shaffer is 01085483A for Neurology in Indiana. His current practice location is 583 S Clarizz Blvd, Bloomington. Patients can reach him at 812-676-4460 or can fax him at 812-355-4092. Johnathon Patrick Shaffer is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1598129678.
Johnathon Patrick Shaffer specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Johnathon Patrick Shaffer speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Johnathon Patrick Shaffer |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | MD |
| Experience: | 10+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 583 S Clarizz Blvd, Bloomington,
Indiana, 47401-5515 |
| Phone: | 812-676-4460 |
| Fax: | 812-355-4092 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1759676034 |
| Enrollment ID: | I20210831000623 |
| NPI Number: | 1598129678 |
| NPI Enumeration Date: | 05 Apr, 2016 |
| NPI Last Update On: | 30 Jul, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Johnathon Patrick Shaffer are as mentioned below.
| License Number | Specialization | State | Status | |
| 01085483A | Neurology | Indiana | Primary | |
| A167677 | Orthopaedic Surgery | California | Secondary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (150051) | Bloomington, IN | Acute Care Hospital |
| (150056) | Indianapolis, IN | Acute Care Hospital |
| (151328) | Bedford, IN | Critical Access Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Johnathon Patrick Shaffer is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Indiana University Health Southern Indiana Physicians Llc (6204748197) | 380 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Johnathon Patrick Shaffer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 090540643 | Other | Indiana | MEDICARE PTAN |
| 000001581445 | Other | Indiana | ANTHEM PTAN |
| 300053899 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Johnathon Patrick Shaffer
250 N Shadeland Ave,
Indianapolis, Indiana |
| Zip: | 46219-4959 |
Patients can reach Johnathon Patrick Shaffer at
583 S Clarizz Blvd, Bloomington, Indiana or can
call to book an appointment on 812-676-4460.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.