Organization Active NPI

Peter E Schaffer DPM

  • Durable Medical Equipment & Medical Supplies
  • Birmingham, MI
National Provider Identifier
1821366535
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5901000620 Issued in MI
Legal business name
PETER E SCHAFFER DPM
Practice address
600 N Old Woodward Ave
Suite 202
Birmingham, MI 48009-1324
Phone
(248) 594-3338
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Peter E Schaffer, DPMNPI 1760485536
Title
Sole Proprietor
Phone
(248) 594-3338

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
Durable Medical Equipment & Medical Supplies 332B00000X 5901000620 MI Primary

Addresses

Primary practice location

600 N Old Woodward Ave
Suite 202
Birmingham, MI 48009-1324

Mailing address

600 N Old Woodward Ave
Suite 202
Birmingham, MI 48009-1324
Phone (248) 594-3338

Other identifiers 1

IdentifierTypeStateIssuer
4650420001OtherMIMEDICARE SUPPLIER PIN NUMBER

National Provider Directory

National Provider Directory

Locations

600 N Old Woodward Ave
Ste 202
Birmingham, MI 48009
Phone (248) 594-3338

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1821366535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N OLD WOODWARD AVE",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091324",
            "telephone_number": "248-594-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N OLD WOODWARD AVE",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091324",
            "telephone_number": "248-594-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER E SCHAFFER DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "248-594-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901000620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER PIN NUMBER",
            "identifier": "4650420001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.