Colin Sim Schaeffer, MD

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

41249 Issued in MA

Practice address

BLDG H2005 Knight Lane
Navy Medicine Support Command
Jacksonville, FL 32212

Phone

(919) 450-3905

Fax

(910) 450-4558

NPI assigned

Sep 15, 2006

Last updated

Dec 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston University Medical Center Radiologists, Inc.

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1134166945

  Diagnostic Ultrasound

  NPD (past)
• Webster Radiology Inc.

  • Diagnostic Radiology Physician
  • Webster, MA
  • NPI 1013085588
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1205932704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG H2005 KNIGHT LANE",
            "address_2": "NAVY MEDICINE SUPPORT COMMAND",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "919-450-3905",
            "fax_number": "910-450-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG H2005 KNIGHT LANE",
            "address_2": "NAVY MEDICINE SUPPORT COMMAND",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "919-450-3905",
            "fax_number": "910-450-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "COLIN",
        "middle_name": "SIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MA",
            "license": "41249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071169",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Lynn Schachter Kerch, BCABA
• Brooke Schachtman Grimes
• Leticia Schaefer Abu Hana
• Edna M Schaefer, LMHC
• Grace Faller Schaefer, PA-C
• David A. Schaeffer, MD
• Brandon H Schafer
• Nicole Schafer, RBT
• Ashley D Schaffer, LM, CPM
• Catherine Abigail Schaffer, NP

• Diagnostic Ultrasound Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Diagnostic Ultrasound Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.