Active NPI
Eric Paul Schaffer, LAT, ATC, PTA
- Athletic Trainer
- Bowling Green, MO
National Provider Identifier
1427835552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2014026466
- Practice address
- 1015 W Adams St
Bowling Green, MO 63334-1974 - Phone
- (573) 324-3105
- NPI assigned
- Sep 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2014026466 | MO | Primary |
Addresses
Primary practice location
1015 W Adams St
Bowling Green, MO 63334-1974
Mailing address
18818 Pike 9222
Bowling Green, MO 63334-3850
Phone (573) 560-0032
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014026466 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1427835552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18818 PIKE 9222",
"city": "BOWLING GREEN",
"state": "MO",
"postal_code": "633343850",
"telephone_number": "573-560-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W ADAMS ST",
"city": "BOWLING GREEN",
"state": "MO",
"postal_code": "633341974",
"telephone_number": "573-324-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "ERIC",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LAT, ATC, PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2014026466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, MO
- Ruth Jensen Village Residential Services, Inc. C Rodes Hood Group
- Ruth Jensen Village Residential Services, Inc. Frances Feldman Group
- Ruth Jensen Village Residential Services, Inc. Isl II
- Ruth Jensen Village Residential Services, Inc. Ohcds Contract
- Ruth Jensen Village Residential Services, Inc. R Armentrout Group
- Cole Joseph Scherder, M.D.
- Gale Marie Schlogl, NP
- Howard Jay Schneider, M.D., DDS
- Katie Louise Schwendemann, COTA/L
- Cassandra Shipley, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.