Samuel Schadt, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2023-00665 Issued in NC

Practice address

1717 Shipyard Blvd Ste 140
Wilmington, NC 28403-8019

Phone

(910) 796-8600

Fax

(910) 796-8644

NPI assigned

Jun 25, 2019

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Philadelphia College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgical Eye Care PAGroup PAC ID 9335173020, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120
• Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
• J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Surgical Eye Care PA

  • Ophthalmology Physician
  • Wilmington, NC
  • NPI 1346248119
  Medicare reassignment Care Compare group NPD
• J. Arthur Dosher Memorial Hospital

  • Critical Access Hospital
  • Southport, NC
  • NPI 1538260229
  Medicare reassignment NPD
• J. Arthur Dosher Memorial Hospital

  • General Practice Physician
  • Bald Head Island, NC
  • NPI 1376961219
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brunswick Community Hospital, LLC

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756
  Care Compare affiliation
• Duplin General Hospital Incorporated

  • General Acute Care Hospital
  • Kenansville, NC
  • NPI 1508832833
  Care Compare affiliation
• J Arthur Dosher Memorial Hospital

  • Rural Health Clinic/Center
  • Southport, NC
  • NPI 1326589649

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Rural Health Clinic/Center
  • Oak Island, NC
  • NPI 1235405358

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • General Practice Physician
  • Bald Head Island, NC
  • NPI 1376961219

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Critical Access Hospital
  • Southport, NC
  • NPI 1538260229
  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Rural Health Clinic/Center
  • Southport, NC
  • NPI 1568887818

  Hospital

  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1437710076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD STE 140",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038019",
            "telephone_number": "910-796-8600",
            "fax_number": "910-796-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD STE 140",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038019",
            "telephone_number": "910-796-8600",
            "fax_number": "910-796-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADT",
        "first_name": "SAMUEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-02-08",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2023-00665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Taylor Scarborough, RPH
• Kayla Marie Scarduzio
• Patricia Gail Scarlett-Rafferty, PHARMD
• Cara Scatena, PA-C
• Denise Marie Scearce, MSW, LCSW
• Savannah Kelly Schadt, PA-C
• Lauren Schaefer, PHD
• Robert Kenneth Schaffer Jr., D.D.S.
• Liza Gail Schaffner, MD
• Jeremy Michael Schain, PT, DPT

• Ophthalmology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.