MRS. MARY SUE SCHAEFER PHYSICIAN ASSISTANT NPI 1063645430

NPI Information

  • NPI: 1063645430
  • Provider Name: MRS. MARY SUE SCHAEFER, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 470 PLEASANT ST
    WORCESTER, MA
    ZIP 01609
  • Phone: (508) 854-3300

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NPI Details

MRS. Mary Sue Schaefer, PHYSICIAN ASSISTANT is a medical physician assistant in Worcester, MA. MRS. Mary Sue Schaefer, PHYSICIAN ASSISTANT NPI is 1063645430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

470 PLEASANT ST
WORCESTER, MA
ZIP 01609-823
Phone: (508) 854-3300

The NPI 1063645430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2009 and was last updated on 3/20/2012.

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
1363AM0700XPhysician AssistantMedical1247MASSACHUSETTSYes

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: 3/30/2025

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