Individual provider Active NPI

John D Schaeffer, D.O

  • Neurology Physician
  • Missoula, MT
National Provider Identifier
1770536872
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
11080 Issued in MT
Practice address
900 N Orange St
Third Floor
Missoula, MT 59802-2998
Phone
(406) 327-3379
Fax
(406) 327-3355
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 11080 MT Primary

Addresses

Primary practice location

900 N Orange St
Third Floor
Missoula, MT 59802-2998

Mailing address

900 N Orange St
Third Floor
Missoula, MT 59802-2998
Phone (406) 327-3379

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jschaeffer207085@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20060531000204 MT Practitioner - Neurology 0446261671 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11080MTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt CurrentSince Apr 1, 2015 Accepting new patients
Providence Health & Services Mt CurrentSince Apr 1, 2015 Accepting new patients
Montana Neurobehavioral Specialists Neurology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

900 N Orange St
Fl Third
Missoula, MT 59802

902 N Orange St
Ste 303
Missoula, MT 59802

601 W Spruce St
Ste J
Missoula, MT 59802
Phone (406) 329-2668

900 N Orange St
Missoula, MT 59802
Phone (406) 327-3300

900 N Orange St
Ste 303
Missoula, MT 59802
Phone (406) 327-7337

Interoperability endpoints

  • Direct secure messaging: jschaeffer207085@wm.providencedirect.org

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1770536872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST",
            "address_2": "THIRD FLOOR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022998",
            "telephone_number": "406-327-3379",
            "fax_number": "406-327-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST",
            "address_2": "THIRD FLOOR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022998",
            "telephone_number": "406-327-3379",
            "fax_number": "406-327-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "11080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschaeffer207085@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "601 W Spruce St Ste J",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.