Terry Dale Schiffbauer, PA-C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0110004436 Issued in VA

Practice address

394 Garrisonville Rd Ste 103
Stafford, VA 22554-1529

Phone

(540) 374-5599

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Colonial Internal Medicine Associates PC

  • Internal Medicine Physician
  • Fredericksburg, VA
  • NPI 1346260940
  Medicare reassignment
• Nabil Guirguis

  • Exclusive Provider Organization
  • Bridgeport, WV
  • NPI 1497786594
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1386786002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 GARRISONVILLE RD. STE 103",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "540-374-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 GARRISONVILLE RD STE 103",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541529",
            "telephone_number": "540-374-5599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Olde Greenwich Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224084008",
            "country_code": "US",
            "telephone_number": "540-374-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIFFBAUER",
        "first_name": "TERRY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0110004436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810019122",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sauda Nickels
• Kellyanne Savage, LCSW
• Bark-Wende Amira Sawadogo
• Dana Scatchard, MS, CCC-SLP
• Ellen Anne Schaefer, MS OTR/L
• Dawn Schuette, OTR
• Emily Kate Schuette
• Barbara Schultheiss
• Rebecca Schweizer
• Christian Scimemi

• Internal Medicine Physician in Stafford, VA
• Providers in Stafford, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.