Organization Active NPI

Gregory N Schaefer M.D., P.a.

  • Gynecology Physician
  • Nampa, ID
National Provider Identifier
1073874780
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
M4187 Issued in ID
Legal business name
GREGORY N SCHAEFER M.D., P.A.
Practice address
1603 12TH Ave Rd
Suite B
Nampa, ID 83686-7712
Phone
(208) 467-2400
Fax
(208) 467-6416
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Gregory N Schaefer, M.D.
Title
Doctor/Owner
Phone
(208) 467-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X M4187 ID Primary

Addresses

Primary practice location

1603 12TH Ave Rd
Suite B
Nampa, ID 83686-7712

Mailing address

1603 12TH Ave Rd
Suite B
Nampa, ID 83686-7712
Phone (208) 467-2400

Other names 1

  • Women's Medical Clinic Other name

National Provider Directory

National Provider Directory

Locations

1603 12th Ave Rd
Ste B
Nampa, ID 83686
Phone (208) 442-0096

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1073874780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 12TH AVE RD",
            "address_2": "SUITE B",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836867712",
            "telephone_number": "208-467-2400",
            "fax_number": "208-467-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 12TH AVE RD",
            "address_2": "SUITE B",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836867712",
            "telephone_number": "208-467-2400",
            "fax_number": "208-467-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY N SCHAEFER M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "208-467-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "ID",
            "license": "M4187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.