Provider Demographics
NPI:1588963078
Name:SCHAFFNER, ERIN KATHLEEN (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:KATHLEEN
Last Name:SCHAFFNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4895 OLENTANGY RIVER RD STE 150
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1185
Mailing Address - Country:US
Mailing Address - Phone:614-891-4705
Mailing Address - Fax:614-568-8050
Practice Address - Street 1:4895 OLENTANGY RIVER RD STE 150
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214
Practice Address - Country:US
Practice Address - Phone:614-891-4705
Practice Address - Fax:614-568-8050
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD451335208000000X
OH35.120404208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics