Active NPI
Douglas C Schafer, PA
- Physician Assistant
- Freeman, SD
National Provider Identifier
1952372336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0171
- Practice address
- 804 S Walnut St
Freeman, SD 57029-0900 - Phone
- (605) 925-4219
- NPI assigned
- Feb 1, 2006
- Last updated
- Jan 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0171 | SD | Primary |
| Medical Physician Assistant | 363AM0700X | NU |
Addresses
Primary practice location
804 S Walnut St
Freeman, SD 57029-0900
Mailing address
PO Box 900
Freeman, SD 57029-0900
Phone (605) 925-4219
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6820372 | Medicaid | SD | |
| 6820370 | Medicaid | SD |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Medical Clinics, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1952372336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 900",
"city": "FREEMAN",
"state": "SD",
"postal_code": "570290900",
"telephone_number": "605-925-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 S WALNUT ST",
"city": "FREEMAN",
"state": "SD",
"postal_code": "570290900",
"telephone_number": "605-925-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFER",
"first_name": "DOUGLAS",
"middle_name": "C",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0171",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6820372",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6820370",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freeman, SD
- Rural Medical Clinics
- Salem Mennonite Home for the Aged (Salem Mennonite Home)
- Sanford Home Health
- Tressa Marie Sattler, CNP
- Tanya Schaeffer, NP
- Eloise Schrag, MD
- Jennifer Louise Schultz, CCC-SLP
- Uecker Pharmacies Inc (Heritage Pharmacy)
- Uecker Pharmacies Inc (Heritage Pharmacy)
- Barry John Uecker, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.