Active NPI
Marlowe R Schaeffer Polk, D.O.
- Internal Medicine Physician
- Media, PA
National Provider Identifier
1124088513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS0076760
- Practice address
- 1068 W Baltimore Pike
Media, PA 19063 - Phone
- (610) 891-3388
- Fax
- (610) 891-3680
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS0076760 | PA | Primary |
Addresses
Primary practice location
1068 W Baltimore Pike
Media, PA 19063
Mailing address
1068 W Baltimore Pike
Media, PA 19063
Phone (610) 891-3388
Other names 1
- Dr. Marlowe Regina Schaeffer
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0076760 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Internal Medicine | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1124088513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 W BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "19063",
"telephone_number": "610-891-3388",
"fax_number": "610-891-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 W BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "19063",
"telephone_number": "610-891-3388",
"fax_number": "610-891-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFER POLK",
"first_name": "MARLOWE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS0076760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLOWE",
"last_name": "SCHAEFFER",
"middle_name": "REGINA",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.