Michael T Shaeffer MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

23165 Issued in IA

Legal business name

MICHAEL T SHAEFFER MD PC

Practice address

1005 Pennsylvania Ave
#208
Ottumwa, IA 52501-6413

Phone

(641) 682-5481

Fax

(641) 682-3438

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Michael T Shaeffer, MDNPI 1427013903

Title

President

Phone

(641) 682-5481

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael T Shaeffer, MD

  • Urology Physician
  • Ottumwa, IA
  • NPI 1427013903
  NPD (past) Authorized official

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1083019376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "#208",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-682-5481",
            "fax_number": "641-682-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T SHAEFFER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "SHAEFFER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-682-5481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IA",
            "license": "23165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John McMillan, M.D.
• Laura Medanic
• Mercy Medical Center-Centerville
• Michael V Merrick, LMSW
• Stephanie Merrill
• Milestones Area Agency on Aging
• Debra Kay Miller, MD
• Joseph R. Miller Jr., PHARMD
• Pamela Sue Miller, ARNP
• William Peyton Miller, MD FAAP

• Urology Physician in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Urology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.