Individual provider Active NPI

Todd Schauers, P.A.

  • Physician Assistant
  • West Jordan, UT
National Provider Identifier
1053344937
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
280636-1206 Issued in UT
Practice address
8846 S Redwood Rd Ste E121
West Jordan, UT 84088-9366
Phone
(801) 569-1999
Fax
(801) 569-2001
NPI assigned
Jul 7, 2006
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 280636-1206 UT Primary

Addresses

Primary practice location

8846 S Redwood Rd Ste E121
West Jordan, UT 84088-9366

Mailing address

PO Box 198560
Atlanta, GA 30384-8560

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tschauers2040@epicmtn.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000186 UT Practitioner - Physician Assistant 9739241324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothill Clinic LLCGroup PAC ID 9931003795, 42 clinicians

Practice addresses (Care Compare)

6360 S 3000
Suite 100
Salt Lake City, UT 84121-6924
Phone (801) 365-1032

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
280636-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Clinic, LLC CurrentSince Mar 1, 2024 Accepting new patients
Jordan Family Health, LLC Past Accepting new patients

Locations

13953 S Bangerter Pkwy
Draper, UT 84020
Phone (385) 900-4090

6360 S 3000 E
Ste 100
Salt Lake Cty, UT 84121
Phone (801) 365-1032

2295 S Foothill Dr
Slc, UT 84109
Phone (801) 486-3021

Interoperability endpoints

  • Direct secure messaging: tschauers25608@foothillfamilyclinic.gardenplot.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1053344937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198560",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8846 S REDWOOD RD STE E121",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889366",
            "telephone_number": "801-569-1999",
            "fax_number": "801-569-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUERS",
        "first_name": "TODD",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-01-27",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "280636-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tschauers2040@epicmtn.hcadirect.net",
            "affiliation": "N",
            "address_1": "8846 S Redwood Rd Ste E121",
            "city": "West Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840889366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.