Active NPI
Benjamin Michael Schaffer, DPM
- Foot & Ankle Surgery Podiatrist
- Louisville, KY
National Provider Identifier
1245238047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000157
- Practice address
- 1915 Bishop LN
Louisville, KY 40218-1901 - Phone
- (502) 459-3338
- Fax
- (502) 459-7509
- NPI assigned
- Jul 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000157 | KY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000157 | KY | Primary |
Addresses
Primary practice location
1915 Bishop LN
Louisville, KY 40218-1901
Mailing address
1915 Bishop LN
Louisville, KY 40218-1901
Phone (502) 459-3338
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4363318 | Other | AETNA | |
| 1054925 | Other | PASSPORT | |
| 80001571 | Medicaid | KY | |
| 480025313 | Other | RAILROAD MEDICARE | |
| 000000051632 | Other | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000157 | KY | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1245238047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 BISHOP LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181901",
"telephone_number": "502-459-3338",
"fax_number": "502-459-7509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 BISHOP LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181901",
"telephone_number": "502-459-3338",
"fax_number": "502-459-7509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "BENJAMIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "KY",
"license": "000157",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "000157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4363318",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1054925",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80001571",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480025313",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000051632",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.