M Kathryn Schaefer MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD-12075 Issued in HI

Legal business name

M KATHRYN SCHAEFER MD LLC

Practice address

850 W Hind Dr Ste 102
Honolulu, HI 96821-1845

Phone

(808) 261-1121

Fax

(244) 265-1495

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Kathryn Schaefer, MDNPI 1770511503

Title

Proprietor

Phone

(808) 261-1121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kathryn Schaefer, M.D.

  • Anesthesiology Physician
  • Kailua, HI
  • NPI 1770511503
  Medicare reassignment Authorized official
• Robert K Childs, MD

  • Anesthesiology Physician
  • Honolulu, HI
  • NPI 1144330952
  NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1831242189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD",
            "address_2": "SUITE 1800",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144522",
            "telephone_number": "808-261-1121",
            "fax_number": "808-262-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-261-1121",
            "fax_number": "244-265-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M KATHRYN SCHAEFER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "808-261-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD-12075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000238087",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anthony Mu-Ywan Ma
• Joanna Ngoc Ma, OD

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.