Organization Active NPI

Sharon K Schaefer MD Inc

  • Surgery Physician
  • Palmer, AK
National Provider Identifier
1639117203
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3722 Issued in AK
Legal business name
SHARON K SCHAEFER MD INC
Practice address
2490 S Woodworth Loop
Suite 300
Palmer, AK 99645-7405
Phone
(907) 746-6100
Fax
(907) 746-6138
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Sharon K Schaefer, M.D.NPI 1932157245
Title
Owner
Phone
(907) 746-6100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 3722 AK Primary

Addresses

Primary practice location

2490 S Woodworth Loop
Suite 300
Palmer, AK 99645-7405

Mailing address

2490 S Woodworth Loop
Suite 300
Palmer, AK 99645-7405
Phone (907) 746-6100

Other identifiers 1

IdentifierTypeStateIssuer
5792MedicaidAK

National Provider Directory

National Provider Directory

Locations

2490 S Woodworth Loop
Ste 300
Palmer, AK 99645
Phone (907) 745-9320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1639117203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "SUITE 300",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-746-6100",
            "fax_number": "907-746-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "SUITE 300",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-746-6100",
            "fax_number": "907-746-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON K SCHAEFER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-746-6100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "3722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5792",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.