NPIMap

Organization Active NPI

John Schaefer MD PC

  • Family Medicine Physician
  • La Grande, OR
National Provider Identifier
1013194950
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19392 Issued in OR
Legal business name
JOHN SCHAEFER MD PC
Practice address
710 Sunset Dr
Suite C
La Grande, OR 97850-1200
Phone
(541) 963-4139
Fax
(541) 963-4412
NPI assigned
Jan 23, 2008
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John E Schaefer, MD PCNPI 1821182551
Title
President
Phone
(541) 963-4139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD19392 OR Primary

Addresses

Primary practice location

710 Sunset Dr
Suite C
La Grande, OR 97850-1200

Mailing address

710 Sunset Dr
Suite C
La Grande, OR 97850-1200
Phone (541) 963-4139

Other identifiers 1

IdentifierTypeStateIssuer
076752MedicaidOR

National Provider Directory

National Provider Directory

Locations

710 Sunset Dr
Ste C
La Grande, OR 97850
Phone (541) 963-4139

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1013194950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SUNSET DR",
            "address_2": "SUITE C",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501200",
            "telephone_number": "541-963-4139",
            "fax_number": "541-963-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUNSET DR",
            "address_2": "SUITE C",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501200",
            "telephone_number": "541-963-4139",
            "fax_number": "541-963-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SCHAEFER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-963-4139",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD19392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076752",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.