DR. COLIN SIM SCHAEFFER MD NPI 1205932704

NPI Information

NPI: 1205932704
Provider Name: DR. COLIN SIM SCHAEFFER, MD
Classification: Radiology - 2085U0001X
Entity Type: Individual

Specialization: Diagnostic Ultrasound

Address:
BLDG H2005 KNIGHT LANE
NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL
ZIP 32212
Phone: (919) 450-3905
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DR. Colin Sim Schaeffer, MD is a diagnostic ultrasound radiology in Jacksonville, FL. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. DR. Colin Sim Schaeffer, MD NPI is 1205932704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

BLDG H2005 KNIGHT LANE
NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL
ZIP 32212
Phone: (919) 450-3905
Fax: (910) 450-4558

The enumeration date for this NPI number is 9/15/2006 and was last updated on 12/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound	41249	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C24028	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	2071169	MEDICAID	MASSACHUSETTS
3	B73643	MEDICARE UPIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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