Active NPI
Robert I. Schaffer, M.D.1
- Otolaryngology Physician
- Warren, OH
National Provider Identifier
1457331787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35038355
- Practice address
- 5000 E Market St
Warren, OH 44484-2259 - Phone
- (330) 856-2212
- Fax
- (330) 856-2668
- NPI assigned
- Jan 20, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35038355 | OH | Primary |
Addresses
Primary practice location
5000 E Market St
Warren, OH 44484-2259
Mailing address
8560 Bayberry Dr NE
Warren, OH 44484-1609
Phone (330) 856-5244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0288782 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35038355 | OH | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1457331787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8560 BAYBERRY DR NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841609",
"telephone_number": "330-856-5244",
"fax_number": "330-856-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444842259",
"telephone_number": "330-856-2212",
"fax_number": "330-856-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "ROBERT",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "M.D.1",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35038355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0288782",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.