Mary Alice Schaefer, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MS19178 Issued in MS

Practice address

7961 Van Zyverden Rd
Meridian, MS 39305-9124

Phone

(256) 509-0590

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Meridian Hma Clinic Management LLC

  • Family Medicine Physician
  • Meridian, MS
  • NPI 1902969850
  NPD (past)
• Childrens Medical Center of Decatur

  • Pediatrics Physician
  • Decatur, AL
  • NPI 1396790457
  NPD (past)
• Parkway Medical Clinic Inc

  • Gynecology Physician
  • Decatur, AL
  • NPI 1811138431

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1154535375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7961 VANZYVERDEN RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39305",
            "telephone_number": "256-509-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7961 VAN ZYVERDEN RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393059124",
            "telephone_number": "256-509-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "DO451",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "340070405",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "MS19178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154535375",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06389899",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Rae Satterfield
• Saul Dermatology PA
• Kenneth Daniel Saul, M.D.
• Christy L Savell, NP
• Joseph T Sayers, CRNA
• Caleb Schedule, DO
• Kenneth R Schneider, PH.D
• Alison Schubert, OTR/L
• Alicia M Schultz, DPT, ATC
• Deborah Jean Schultz, MD

• Pediatrics Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.