Individual provider Active NPI

Laura Schaeffer, DO

  • Dermatology Physician
  • Pataskala, OH
National Provider Identifier
1326047028
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34-007313 Issued in OH
Practice address
One Healthy Place
Ste 205
Pataskala, OH 43062
Phone
(740) 348-1930
Fax
(740) 348-1931
NPI assigned
Jul 15, 2005
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34-007313 OH Primary

Addresses

Primary practice location

One Healthy Place
Ste 205
Pataskala, OH 43062

Mailing address

One Healthy Place
Ste 205
Pataskala, OH 43062
Phone (740) 348-1930

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lschaeffer14418@lickingmemorial.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000944 OH Practitioner - Dermatology 5294625679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio University, College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Healthy PL
Suite 203
Pataskala, OH 43062-7067
Phone (220) 564-1930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision133
Removal of skin lesions758
Skin biopsy348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-007313OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Health Professionals CurrentSince Sep 3, 2014 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Sep 3, 2014 Accepting new patients
Licking Memorial Hospital Current Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Licking Memorial Professional Corporation Dermatology Past Accepting new patients
Center for Surgical Dermatology Inc Dermatology Past Accepting new patients

Locations

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

36 McMillen Dr
Newark, OH 43055
Phone (740) 344-1304

1 Healthy Pl
#101
Pataskala, OH 43062
Phone (740) 348-1900

1 Healthy Pl
Ste 203
Pataskala, OH 43062
Phone (220) 564-1925

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1326047028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HEALTHY PLACE",
            "address_2": "STE 205",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "43062",
            "telephone_number": "740-348-1930",
            "fax_number": "740-348-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HEALTHY PLACE",
            "address_2": "STE 205",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "43062",
            "telephone_number": "740-348-1930",
            "fax_number": "740-348-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34-007313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lschaeffer14418@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "One Healthy Place",
            "address_2": "Ste 205",
            "city": "Pataskala",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pataskala, OH

Sources for this page

Verify at the official NPI Registry.