Active NPI
Suzanne Marie Schafer, D.O.
- Family Medicine Physician
- La Porte, TX
National Provider Identifier
1841284007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0790
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114090706 | Medicaid | TX |
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.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Past | Accepting new patients | |
| Suzanne Schafer, DO, PA | Family Medicine | Past | 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.
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- NPI 1962512160
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
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.