Individual provider Active NPI

Sharon K Schaefer, MD

  • Surgery Physician
  • Palmer, AK
National Provider Identifier
1932157245
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5792 Issued in AK
Practice address
2490 S Woodworth Loop
Suite 300
Palmer, AK 99645-7405
Phone
(907) 746-6100
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5792 AK Primary

Addresses

Primary practice location

2490 S Woodworth Loop
Suite 300
Palmer, AK 99645-7405

Mailing address

2490 S Woodworth Loop
Suite 300
Palmer, AK 99645-7405
Phone (907) 746-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20060410000097 AK Practitioner - General Surgery 3577572254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3722AKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon K Schaefer MD Inc Surgery CurrentSince Apr 1, 2006 Accepting new patients
Surgical Consultants of Pueblo, PC Surgery Past Accepting new patients

Locations

2490 S Woodworth Loop
Ste 300
Palmer, AK 99645
Phone (907) 745-9320

Organizations & group practices 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1932157245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "SUITE 300",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-746-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "SUITE 300",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-746-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "SHARON",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "5792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.