Active NPI
Stephen Thomas Schiffgen, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Sandy, UT
National Provider Identifier
1477556298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 102865-0501
- Practice address
- 9690 S 1300 E
# 120
Sandy, UT 84094-3721 - Phone
- (801) 501-4335
- Fax
- (801) 501-4338
- NPI assigned
- May 24, 2005
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 102865-0501 | UT | Primary |
Addresses
Primary practice location
9690 S 1300 E
# 120
Sandy, UT 84094-3721
Mailing address
9690 S 1300 E
# 120
Sandy, UT 84094-3721
Phone (801) 501-4335
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 |
|---|---|---|---|
| 102865-0501 | UT | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1477556298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9690 S 1300 E",
"address_2": "# 120",
"city": "SANDY",
"state": "UT",
"postal_code": "840943721",
"telephone_number": "801-501-4335",
"fax_number": "801-501-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9690 S 1300 E",
"address_2": "# 120",
"city": "SANDY",
"state": "UT",
"postal_code": "840943721",
"telephone_number": "801-501-4335",
"fax_number": "801-501-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFFGEN",
"first_name": "STEPHEN",
"middle_name": "THOMAS",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "102865-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.