Active NPI
Susan Ansley Schaefer, MD
- Allergy & Immunology Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 14669
- Practice address
- 100 Hitchcock Way
Manchester, NH 03104-4125 - Phone
- (603) 695-2500
- Fax
- (603) 695-2562
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 14669 | NH | Primary |
| Allergy & Immunology Physician | 207K00000X | MD27300 | OR |
Addresses
Primary practice location
100 Hitchcock Way
Manchester, NH 03104-4125
Mailing address
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30208766 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090827000140 | NH | Practitioner - Allergy/Immunology | 3678671732 | Reassigns benefits to 1 organization |
| I20230131002385 | MA | Practitioner - Allergy/Immunology | 3678671732 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27300 | OR | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Affiliates of Danvers | Current | Accepting new patients | |
| Asthma & Allergy Affiliates Inc | Current | Accepting new patients | |
| Advanced Care House Calls of Massachusetts, LLC | Past | Accepting new patients | |
| DRS. Fine, Hoffman & Sims LLC | Past | Accepting new patients |
Locations
140 Commonwealth Ave
Ste 103
Danvers, MA 01923
Phone (978) 777-0970
401 Andover St
Ste 102
North Andover, MA 01845
Phone (781) 315-5430
114R Highland Ave
Salem, MA 01970
Phone (978) 745-3711
114 Highland Ave
Rear
Salem, MA 01970
Phone (978) 745-3711
48 Stiles Rd
Ste 103
Salem, NH 03079
Phone (603) 328-7807
Interoperability endpoints
- sschaefer16261@direct.dartmouth-hitchcock.org
- schaefer.susan.nsaa@direct.partners.masshiway.net
Organizations & group practices 4
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.
-
- Nurse Practitioner
- North Andover, MA
- NPI 1164996070
-
- Ophthalmology Physician
- Eugene, OR
- NPI 1194806802
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Georgetown University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Asthma and Allergy Affiliates IncAllergy Affiliates of Danvers
Practice addresses (Care Compare)
114 R Highland Ave
Salem, MA 01970-2723
Phone (978) 745-4767
140 Commonwealth Ave
Suite 103
Danvers, MA 01923-3624
Phone (978) 777-0970
401 Andover St
Suite 102
North Andover, MA 01845-5076
Phone (978) 683-6256
48 Stiles Rd
Suite 103
Salem, NH 03079-3770
Phone (603) 328-7807
Hospital & facility affiliations
- Northeast Hospital Corporation
- North Shore Medical Center -
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1477622280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HITCHCOCK WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031044125",
"telephone_number": "603-695-2500",
"fax_number": "603-695-2562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HITCHCOCK WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031044125",
"telephone_number": "603-695-2500",
"fax_number": "603-695-2562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "SUSAN",
"middle_name": "ANSLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NH",
"license": "14669",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OR",
"license": "MD27300",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30208766",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.