Active NPI
Frederick M Schaffer, M.D.
- Allergy & Immunology Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 23028
- Practice address
- 9165 University Blvd
North Charleston, SC 29406-9120 - Phone
- (843) 797-8162
- Fax
- (843) 820-1300
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 23028 | SC | Primary |
Addresses
Primary practice location
9165 University Blvd
North Charleston, SC 29406-9120
Mailing address
1879 Savage Rd
Charleston, SC 29407-4726
Phone (843) 797-8162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T72070 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- State University of Ny Upstate Medical University, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 Wade Hampton Boulevard
Suite B
Greenville, SC 29615-1178
Phone (864) 558-8174
945 E Main St
Suite 4
Spartanburg, SC 29302-2119
Phone (864) 404-0433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23028 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Healthcare of Spartanburg | Current | Accepting new patients | |
| Superior Healthcare Physical Medicine of Greenville Inc | Current | Accepting new patients | |
| Greenville Family Medical Center Inc | Past | Accepting new patients |
Locations
2520 Wade Hampton Blvd
Ste B
Greenville, SC 29615
Phone (864) 552-1142
945 E Main St
Ste 4
Spartanburg, SC 29302
Phone (864) 404-0433
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Spartanburg, SC
- NPI 1356926067
-
- Physical Medicine & Rehabilitation Physician
- Greenville, SC
- NPI 1194195941
-
- Preferred Provider Organization
- Greenville, MS
- NPI 1932197779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1447239983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 SAVAGE RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074726",
"telephone_number": "843-797-8162",
"fax_number": "843-820-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9165 UNIVERSITY BLVD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069120",
"telephone_number": "843-797-8162",
"fax_number": "843-820-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "FREDERICK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "SC",
"license": "23028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T72070",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.