Organization Active NPI

Cameron S Schaeffer MD PSC

  • Pediatric Urology Physician
  • Lexington, KY
National Provider Identifier
1508982166
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
Legal business name
CAMERON S SCHAEFFER MD PSC
Practice address
1760 Nicholasville Rd
Suite 601
Lexington, KY 40503-1471
Phone
(859) 275-5437
Fax
(859) 275-5434
NPI assigned
Mar 22, 2007
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Mr. Cameron Sherwood SchaefferNPI 1386622363
Title
Owner
Phone
(859) 275-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X KY
Pediatric Nurse Practitioner 363LP0200X KY
Pediatric Urology Physician 2088P0231X Primary

Addresses

Primary practice location

1760 Nicholasville Rd
Suite 601
Lexington, KY 40503-1471

Mailing address

1760 Nicholasville Rd
Suite 601
Lexington, KY 40503-1471
Phone (859) 275-5437

Other identifiers 1

IdentifierTypeStateIssuer
6593656900MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000828 KY Part B Supplier - Clinic/Group Practice 5193741981 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0998467Cameron S Schaeffer MD PSC1760 Nicholasville Road #601, Lexington, KY 40503Provider-performed microscopyApr 15, 2028

National Provider Directory

National Provider Directory

Locations

1760 Nicholasville Rd
Lexington, KY 40503
Phone (606) 277-5766

1760 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 275-5437

3920 Dutchmans Ln
Ste 303
Louisville, KY 40207
Phone (502) 314-6807

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1508982166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD",
            "address_2": "SUITE 601",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031471",
            "telephone_number": "859-275-5437",
            "fax_number": "859-275-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD",
            "address_2": "SUITE 601",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031471",
            "telephone_number": "859-275-5437",
            "fax_number": "859-275-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON S SCHAEFFER MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "SHERWOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-275-5437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6593656900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.