Active NPI
Albert J Schaefer, MD
- Maternal & Fetal Medicine Physician
- Grand Junction, CO
National Provider Identifier
1356313936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- DR.0039403
- Practice address
- 1230 White Ave
Grand Junction, CO 81501-4536 - Phone
- (970) 778-5489
- NPI assigned
- Feb 7, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | MD446245 | PA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 27233 | SC | |
| Maternal & Fetal Medicine Physician | 207VM0101X | DR.0039403 | CO | Primary |
Addresses
Primary practice location
1230 White Ave
Grand Junction, CO 81501-4536
Mailing address
1230 White Ave
Grand Junction, CO 81501-4536
Phone (970) 778-5489
Other practice location 1
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35150041 | Medicaid | CO | |
| 002371200 | Medicaid | FL | |
| 272332 | Medicaid | SC |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0039403 | CO | MD | Maternal & Fetal Medicine Physician |
| MD446245 | PA | MD | Maternal & Fetal Medicine Physician |
| 27233 | SC | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OBGYN Specialists of the Palm Beaches PA | Maternal & Fetal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- West Palm Beach, FL
- NPI 1326066267
Maternal & Fetal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1356313936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 WHITE AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815014536",
"telephone_number": "970-778-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 WHITE AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815014536",
"telephone_number": "970-778-5489"
}
],
"practiceLocations": [
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-3008",
"fax_number": "215-707-1387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHAEFER",
"first_name": "ALBERT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "PA",
"license": "MD446245",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "SC",
"license": "27233",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CO",
"license": "DR.0039403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35150041",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002371200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272332",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.