Active NPI
Marc L Schaffer, MS, LAT, ATC
- Athletic Trainer
- New Holland, PA
National Provider Identifier
1003192519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT005008
- Practice address
- 669 E Main St
New Holland, PA 17557-1409 - Phone
- (717) 354-1139
- NPI assigned
- Oct 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005008 | PA | Primary |
Addresses
Primary practice location
669 E Main St
New Holland, PA 17557-1409
Mailing address
24 N Jacob St
Mount Joy, PA 17552-1510
Phone (717) 269-5271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005008 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1003192519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 N JACOB ST",
"city": "MOUNT JOY",
"state": "PA",
"postal_code": "175521510",
"telephone_number": "717-269-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 E MAIN ST",
"city": "NEW HOLLAND",
"state": "PA",
"postal_code": "175571409",
"telephone_number": "717-354-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "MARC",
"middle_name": "L",
"credential": "MS, LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-28",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT005008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Holland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.