Active NPI
Cynthia N Schaeffer, MD
- Pediatrics Physician
- Pasadena, MD
National Provider Identifier
1497757215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0045916
- Practice address
- 3100 Mountain Rd
Suite E
Pasadena, MD 21122-2018 - Phone
- (410) 360-4446
- Fax
- (410) 360-4449
- NPI assigned
- Aug 11, 2005
- Last updated
- Oct 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0045916 | MD | Primary |
Addresses
Primary practice location
3100 Mountain Rd
Suite E
Pasadena, MD 21122-2018
Mailing address
3100 Mountain Rd Ste E
Pasadena, MD 21122-2018
Phone (410) 360-4446
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002 | Other | BCBS | |
| 479177 | Other | AETNA HMO | |
| 267482 | Other | MAMSI | |
| 111071300 | Medicaid | MD | |
| 54618201 | Other | BCBS | |
| 522172068 | Other | AMERIGROUP | |
| 4492858 | Other | AETNA PPO |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0045916 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Oak Pediatrics Dr Battiata & Impeduglia PA | Pediatrics | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- cynthia.schaeffer.1@6914.direct.athenahealth.com
- cynthia.schaeffer.2@6914.direct.athenahealth.com
- https://api.platform.athenahealth.com/6914/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DBA Pediatric Place
- Pediatrics Physician
- Pasadena, MD
- NPI 1063482610
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1497757215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 MOUNTAIN RD STE E",
"city": "PASADENA",
"state": "MD",
"postal_code": "211222018",
"telephone_number": "410-360-4446",
"fax_number": "410-360-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MOUNTAIN RD",
"address_2": "SUITE E",
"city": "PASADENA",
"state": "MD",
"postal_code": "211222018",
"telephone_number": "410-360-4446",
"fax_number": "410-360-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "CYNTHIA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0045916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "479177",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "267482",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111071300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "54618201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "522172068",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4492858",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.