Individual provider Active NPI

Frederick M Schaffer, M.D.

  • Allergy & Immunology Physician
  • North Charleston, SC
National Provider Identifier
1447239983
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
23028 Issued in SC
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

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
T72070MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000469 SC Practitioner - Allergy/ImmunologyPractitioner - Pulmonary Disease 9638250483 Reassigns benefits to 2 organizations

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
Superior Healthcare Physical Medicine of Greenville IncGroup PAC ID 3274834874, 3 clinicians
Superior Healthcare of SpartanburgGroup PAC ID 4284034711, 4 clinicians

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

LicenseStateTypeSpecialty
23028SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Healthcare of Spartanburg CurrentSince Mar 6, 2025 Accepting new patients
Superior Healthcare Physical Medicine of Greenville Inc CurrentSince Mar 6, 2025 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.

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

Verify at the official NPI Registry.