Individual provider Active NPI

Erica D Scheffer, MD

  • Family Medicine Physician
  • Dyersburg, TN
National Provider Identifier
1588775894
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0106264A Issued in IN
Practice address
1504 Yellow Twig LN
Dyersburg, TN 38024-2955
Phone
(573) 359-4336
Fax
(573) 333-4665
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0106264A IN Primary

Addresses

Primary practice location

1504 Yellow Twig LN
Dyersburg, TN 38024-2955

Mailing address

1502 Ward Ave
Caruthersville, MO 63830-2571
Phone (573) 333-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000559 MO Practitioner - Family Practice 7012984602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0106264AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pemiscot County Memorial Hospital CurrentSince Mar 10, 2020 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Mar 10, 2020 Accepting new patients

Locations

1502 Ward Ave
Caruthersvlle, MO 63830
Phone (573) 333-4244

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1588775894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 WARD AVE",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638302571",
            "telephone_number": "573-333-4244",
            "fax_number": "573-333-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 YELLOW TWIG LN",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242955",
            "telephone_number": "573-359-4336",
            "fax_number": "573-333-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFFER",
        "first_name": "ERICA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "0106264A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.