NPIMap

Organization Active NPI

Jeffrey E. Schulz, M.D, P.C.

  • Specialist
  • Seymour, IN
National Provider Identifier
1508287707
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01024324 Issued in IN
Legal business name
JEFFREY E. SCHULZ, M.D, P.C.
Practice address
1020 W 2ND St
Seymour, IN 47274-2760
Phone
(812) 522-2177
Fax
(812) 522-4069
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Dr. Jeffrey E Schulz
Title
President
Phone
(812) 522-2177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01024324 IN Primary

Addresses

Primary practice location

1020 W 2ND St
Seymour, IN 47274-2760

Mailing address

1020 W 2ND St
Seymour, IN 47274-2760
Phone (812) 522-2177

Other identifiers 1

IdentifierTypeStateIssuer
200003010AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1508287707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W 2ND ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742760",
            "telephone_number": "812-522-2177",
            "fax_number": "812-522-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W 2ND ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742760",
            "telephone_number": "812-522-2177",
            "fax_number": "812-522-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY E. SCHULZ, M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-522-2177",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01024324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.