Individual provider Active NPI

Peggy Lee Schuler, PA-C

  • Physician Assistant
  • Kennett, MO
National Provider Identifier
1659437739
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2006035757 Issued in MO
Practice address
807 South Byp
Kennett, MO 63857-3244
Phone
(573) 888-0030
Fax
(573) 888-0040
NPI assigned
Dec 31, 2006
Last updated
Jun 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2006035757 MO Primary

Addresses

Primary practice location

807 South Byp
Kennett, MO 63857-3244

Mailing address

2008 Jackson
Willow Springs, MO 65793-3542
Phone (417) 962-5639

Other identifiers 1

IdentifierTypeStateIssuer
NOT REQUIREDMedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2006035757MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abdul Naushad MD PC PastSince Oct 1, 2018 Accepting new patients
Integrity Regional Pain Center LLC PastSince Jan 1, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1659437739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 JACKSON",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657933542",
            "telephone_number": "417-962-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SOUTH BYP",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573244",
            "telephone_number": "573-888-0030",
            "fax_number": "573-888-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULER",
        "first_name": "PEGGY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2006035757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NOT REQUIRED",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, MO

Sources for this page

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