Active NPI
Michael Schaeffer, D.P.M.
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1720114036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001458L
- Practice address
- 4041 Lancaster Ave
Philadelphia, PA 19104-1753 - Phone
- (215) 843-3668
- Fax
- (215) 613-5298
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001458L | PA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC001458L | PA |
Addresses
Primary practice location
4041 Lancaster Ave
Philadelphia, PA 19104-1753
Mailing address
4041 Lancaster Ave
Philadelphia, PA 19104-1753
Phone (215) 843-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060704000 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Doctor Shop LLC | Current | Accepting new patients |
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.
-
- Podiatrist
- Philadelphia, PA
- NPI 1043618390
-
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
- NPI 1487279170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1720114036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 LANCASTER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041753",
"telephone_number": "215-843-3668",
"fax_number": "215-613-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 LANCASTER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041753",
"telephone_number": "215-843-3668",
"fax_number": "215-613-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001458L",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC001458L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "0060704000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.