Organization Active NPI

Kim M Schaus MD PA

  • Specialist
  • Nacogdoches, TX
National Provider Identifier
1275788978
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L4837 Issued in TX
Legal business name
KIM M SCHAUS MD PA
Practice address
1018 N Mound St
Ste 206
Nacogdoches, TX 75961-4492
Phone
(936) 560-0707
NPI assigned
Nov 21, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Kim Marie Schaus, MD
Title
Owner
Phone
(936) 560-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L4837 TX Primary

Addresses

Primary practice location

1018 N Mound St
Ste 206
Nacogdoches, TX 75961-4492

Mailing address

1018 N Mound St
Ste 206
Nacogdoches, TX 75961-4492
Phone (936) 560-0707

Other identifiers 1

IdentifierTypeStateIssuer
152632901MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1275788978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 N MOUND ST",
            "address_2": "STE 206",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614492",
            "telephone_number": "936-560-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N MOUND ST",
            "address_2": "STE 206",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614492",
            "telephone_number": "936-560-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM M SCHAUS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "SCHAUS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-560-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L4837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152632901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

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