Active NPI
Wendelin Walter Schaefer, M. D.
- Specialist
- Incline Village, NV
National Provider Identifier
1215029145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 18918-020
- Practice address
- 978 Fairway View Court
Incline Village, NV 89451 - Phone
- (775) 833-2145
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 18918-020 | WI | Primary |
| Specialist | 174400000X | G14516 | CA |
Addresses
Primary practice location
978 Fairway View Court
Incline Village, NV 89451
Mailing address
978 Fairway View Court
Incline Village, NV 89451
Phone (775) 833-2145
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 |
|---|---|---|---|
| G14516 | CA | MD | Specialist |
| 18918-020 | WI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1215029145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 FAIRWAY VIEW COURT",
"city": "INCLINE VILLAGE",
"state": "NV",
"postal_code": "89451",
"telephone_number": "775-833-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 FAIRWAY VIEW COURT",
"city": "INCLINE VILLAGE",
"state": "NV",
"postal_code": "89451",
"telephone_number": "775-833-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "WENDELIN",
"middle_name": "WALTER",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "18918-020",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G14516",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Incline Village, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.