Active NPI
Sharon K Schaefer MD Inc
- Surgery Physician
- Palmer, AK
National Provider Identifier
1639117203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3722
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon K Schaefer, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5792 | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Palmer, AK
- NPI 1932157245
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.