Active NPI
Richard Schaaf, MD
- Cardiovascular Disease Physician
- Drexel Hill, PA
National Provider Identifier
1215901483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD028195E
- Practice address
- 2100 Keystone Ave
Suite 200
Drexel Hill, PA 19026-1129 - Phone
- (610) 259-0240
- Fax
- (610) 259-0606
- NPI assigned
- Feb 15, 2006
- Last updated
- Aug 16, 2011
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD028195E | PA | Primary |
Addresses
Primary practice location
2100 Keystone Ave
Suite 200
Drexel Hill, PA 19026-1129
Mailing address
207 N Broad St
3Rd FLR.
Philadelphia, PA 19107-1500
Phone (215) 462-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001017684 | Medicaid | PA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1215901483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N BROAD ST",
"address_2": "3RD FLR.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071500",
"telephone_number": "215-462-7100",
"fax_number": "215-463-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 KEYSTONE AVE",
"address_2": "SUITE 200",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190261129",
"telephone_number": "610-259-0240",
"fax_number": "610-259-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAAF",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD028195E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001017684",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.