Individual provider Active NPI

Suzanne Marie Schafer, D.O.

  • Family Medicine Physician
  • La Porte, TX
National Provider Identifier
1841284007
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0790 Issued in TX
Practice address
1005 S. Broadway St.
La Porte, TX 77571
Phone
(281) 470-8770
Fax
(281) 470-0313
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0790 TX Primary

Addresses

Primary practice location

1005 S. Broadway St.
La Porte, TX 77571

Mailing address

PO Box 1383
La Porte, TX 77572-1383
Phone (281) 703-6618

Other practice location 1

133 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-4886

Other practice location 2

7433 Leopard St
Corpus Christi, TX 78409
Phone (361) 299-2891

Other identifiers 1

IdentifierTypeStateIssuer
114090706MedicaidTX

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Past Accepting new patients
Suzanne Schafer, DO, PA Family Medicine PastSince Jul 5, 2006 Accepting new patients
Texas Gulf Coast Medical System, Inc Family Medicine 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1841284007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1383",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775721383",
            "telephone_number": "281-703-6618",
            "fax_number": "713-482-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S. BROADWAY ST.",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "77571",
            "telephone_number": "281-470-8770",
            "fax_number": "281-470-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Port Lavaca",
            "state": "TX",
            "postal_code": "77979",
            "country_code": "US",
            "telephone_number": "361-552-4886",
            "fax_number": "361-552-4896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7433 Leopard St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "78409",
            "country_code": "US",
            "telephone_number": "361-299-2891",
            "fax_number": "361-299-2892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114090706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.