Individual provider Active NPI

Denise Kay Schaffert, M.D.

  • Pediatrics Physician
  • Midland, MI
National Provider Identifier
1063810653
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301054184 Issued in MI
Practice address
920 W Wackerly St
Midland, MI 48640-2700
Phone
(989) 839-9937
Fax
(989) 839-9220
NPI assigned
Dec 12, 2014
Last updated
Dec 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301054184 MI Primary

Addresses

Primary practice location

920 W Wackerly St
Midland, MI 48640-2700

Mailing address

920 W Wackerly St
Midland, MI 48640-2700
Phone (989) 839-9937

Other names 1

  • Dr. Denise Kay Wontorcik Schaffert Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150204001438 MI Practitioner - Pediatric Medicine 5294050720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Family Physicians PC CurrentSince Jan 31, 2015 Accepting new patients

Locations

920 W Wackerly St
Midland, MI 48640
Phone (517) 839-9937

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1063810653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402700",
            "telephone_number": "989-839-9937",
            "fax_number": "989-839-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402700",
            "telephone_number": "989-839-9937",
            "fax_number": "989-839-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFERT",
        "first_name": "DENISE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301054184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "SCHAFFERT",
            "middle_name": "KAY WONTORCIK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.