Mary K Schaefer in Parkston - Physician Assistant

Mary K Schaefer - NPI 1093706616

Mary K Schaefer is a Physician Assistant in Parkston, South Dakota. Mary K Schaefer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary K Schaefer is 1093706616. The last update date is 2012-08-09.

Mary K Schaefer's current location address is 401 W Glynn Dr, Parkston, South Dakota. You can contact this provider via phone number 6059287961 and fax number 6059287368. The mailing address for Mary K Schaefer is 401 W Glynn Dr, Parkston, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary K Schaefer
Address 401 W Glynn Dr, Parkston, South Dakota
Phone Number 6059287961
Fax Number 6059287368
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1093706616
Provider Enumeration Date 2005-11-02
Last Updated Date 2012-08-09

Provider Mailing Address Detail

Address 401 W Glynn Dr
City Parkston
State South Dakota (SD)
Post Code 573669605
Phone Number 6059287961
Fax Number 6059287368

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 388
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7354 SD WELLMARK PARKSTON
4997644 SD WELLMARK - LAKE ANDES
4997652 SD WELLMARK - TRIPP
5340340 SD --
9247664 SD DAKOTACARE
5340070 SD --
6821750 SD --

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FAQs about Mary K Schaefer

What is the Mary K Schaefer's unique identification number?

The Mary K Schaefer has been assigned the NPI (National Provider Identifier) Number 1093706616 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Mary K Schaefer's physical address?

The Mary K Schaefer is physically located at 401 W Glynn Dr, in the city of Parkston, SD, with the postal code 573669605.

What is Mary K Schaefer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary K Schaefer is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Mary K Schaefer receive its 1093706616 assignment from the Centers for Medicare & Medicaid Services?

The Mary K Schaefer was assigned its 1093706616 by the Centers for Medicare & Medicaid Services on 2005-11-02.

As of what date was the information regarding Mary K Schaefer, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary K Schaefer, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-09.

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