Active NPI
Heinz-Peter Schafer, M. D.
- Public Health & General Preventive Medicine Physician
- Williston, SC
National Provider Identifier
1083694335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 24162
- Practice address
- 13975 Church St
Williston, SC 29853-5835 - Phone
- (803) 266-0060
- Fax
- (803) 266-0042
- NPI assigned
- Jan 20, 2006
- Last updated
- Dec 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 24162 | SC | Primary |
Addresses
Primary practice location
13975 Church St
Williston, SC 29853-5835
Mailing address
86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241624 | Medicaid | SC | |
| SC0795 | Other | SC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24162 | SC | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Low Country Health Care System, Inc | Past | Accepting new patients |
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.
-
dba Williston Family Medicine
- Federally Qualified Health Center (FQHC)
- Williston, SC
- NPI 1922468826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1083694335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 WREN ST",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121529",
"telephone_number": "803-259-5762",
"fax_number": "803-259-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13975 CHURCH ST",
"city": "WILLISTON",
"state": "SC",
"postal_code": "298535835",
"telephone_number": "803-266-0060",
"fax_number": "803-266-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFER",
"first_name": "HEINZ-PETER",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "SC",
"license": "24162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241624",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "SC0795",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williston, SC
- Rivers Pharmacy Inc
- Ian R Sanders
- SC Healthcare Investments LL (Williston Family Practice)
- SC Healthcare Investments LLC (Williston Family Practice)
- SC Regional Health System LLC (Williston Family Medicine)
- Angela Sharpe
- Rosanne J Smith, PTA
- Stapleton Speech Services, LLC
- Tiffany Meador Stapleton, M.A.
- Nachelle Sweat
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.