Jeffery S Schwerdtfeger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA396 Issued in OK

Practice address

1084 Nickerson St
Waynoka, OK 73860-1245

Phone

(580) 824-2291

Fax

(580) 824-0429

NPI assigned

Aug 3, 2005

Last updated

Apr 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Scott Schwerdtfeger Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Integris Rural Health Inc

  dba INTEGRIS NW Medical Group

  • Family Medicine Physician
  • Enid, OK
  • NPI 1487800512
  NPD (past)
• Integris Rural Health, Inc.

  dba Family Physicians of the Plains

  • Family Medicine Physician
  • Enid, OK
  • NPI 1710113121
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1427059179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "580-548-1367",
            "fax_number": "580-548-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 NICKERSON ST",
            "city": "WAYNOKA",
            "state": "OK",
            "postal_code": "738601245",
            "telephone_number": "580-824-2291",
            "fax_number": "580-824-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWERDTFEGER",
        "first_name": "JEFFERY",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100848070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "SCHWERDTFEGER",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Northwest Treatment Center
• Alina Jade Opferman
• Charlene Elaine Reust, PA
• Kristen Leigh Ross
• Shonda Russell
• Lois Arleta Smith
• Bethany S Stout, LADC
• The Medical Clinic, Inc
• Patti Jo Vazquez, LCSWUNDER SUPERVISI
• Waynoka Mental Health Authority (Northwest Treatment Center)

• Physician Assistant in Waynoka, OK
• Providers in Waynoka, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.