Organization Active NPI

Jeanne M Schaefer MD PLLC

Doing business as First Choice Pediatrics

  • Pediatrics Physician
  • Edmond, OK
National Provider Identifier
1366614356
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JEANNE M SCHAEFER MD PLLC
Doing business as
First Choice Pediatrics
Practice address
523 S Santa Fe Ave Ste B
Edmond, OK 73003-6291
Phone
(405) 509-6777
Fax
(405) 509-6778
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Jeanne M Schaefer, MDNPI 1114992740
Title
Physician Owner
Phone
(405) 509-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

523 S Santa Fe Ave Ste B
Edmond, OK 73003-6291

Mailing address

PO Box 270
Edmond, OK 73083-0270
Phone (405) 509-6777

Other identifiers 1

IdentifierTypeStateIssuer
200071190AMedicaidOK

Other names 1

  • First Choice Pediatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1366614356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730830270",
            "telephone_number": "405-509-6777",
            "fax_number": "405-509-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S SANTA FE AVE STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036291",
            "telephone_number": "405-509-6777",
            "fax_number": "405-509-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE M SCHAEFER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "405-509-6777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200071190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Choice Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.