DR. MARY ALICE SCHAEFER (NPI# 1154535375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154535375 |
| Entity Type | Individual |
| Full Name | DR. MARY ALICE SCHAEFER |
| Credential | D.O. |
| Practice Address |
7961 Van Zyverden Rd Meridian MS 39305-9124 |
| Mailing Address |
7961 Vanzyverden Rd Meridian MS 39305 |
| Practice Telephone | 2565090590 |
| Mailing Telephone | 2565090590 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 340070405 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | DO451 | AL | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MS19178 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06389899 | 05 | |
| MS | NPI | 1154535375 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301907 | Mary Schaefer | Social Worker | 1406 Fitzwatertown Rd, Willow Grove, PA 19090-4313 | 2019-08-12 |
| 1982956694 | Mary Ann Schaefer | Nurse Practitioner | 12450 Punkin Hollow Rd, Bentonville, AR 72712-9009 | 2012-10-04 |
| 1558649244 | Mary Ellen Schaefer | Nurse Practitioner | 4 Millstone Dr, Southampton, NY 11968-5613 | 2011-07-28 |
| 1154659936 | Mary E Schaefer | Registered Nurse | 5452 County Road Tt, Sturgeon Bay, WI 54235-9167 | 2009-12-06 |
| 1255302964 | Mary B Schaefer | Pharmacist | 1309 S Mission St, Mt Pleasant, MI 48858-4207 | 2006-01-30 |
| 1720517691 | Mary Schaefer | Occupational Therapist | 151 N Sunrise Ave Ste 1105, Roseville, CA 95661-2931 | 2017-06-05 |
| 1063827657 | Mary Schaefer | Physical Therapist | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2014-06-23 |
| 1205144326 | Mary Agnes Schaefer | Nurse Practitioner | 1999 Marcus Ave, Dept of Surgery, New Hyde Park, NY 11042-1017 | 2010-09-23 |
| 1851418362 | Mary Patricia Schaefer | Registered Nurse | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2007-03-22 |
| 1598864159 | Mary Kathryn Schaefer | Physician Assistant | 1725 W Harrison St Ste 1010, Chicago, IL 60612-3841 | 2006-09-21 |
| Street Address |
7961 VAN ZYVERDEN RD |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39305-9124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521053 | Shirley Home Care, LLC | Nurse's Aide | 4525 Poplar Springs Drive, Meridian, MS 39305 | 2020-09-08 |
| 1871017855 | Robbyn Lee | Nurse Practitioner | 4715 24th Place, Meridian, MS 39305 | 2017-08-01 |
| 1245686575 | Synergy Physical Therapy & Sports Medicine, LLC | Clinic/Center | 2447 47th Court, Suite F, Meridian, MS 39305 | 2016-05-05 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1982042198 | Kennerh Provine Collins | Pharmacist | 2917 56th Court, Meridian, MS 39305 | 2013-06-10 |
| 1306284880 | A1 In Home Therapy | Community Health Worker | 211 North Hills Street J6, A1 In Home Therapy, Meridian, MS 39305 | 2013-06-06 |
| 1497192876 | Taylor Farland | Dentist | 2300 North Hills, Meridian, MS 39305 | 2013-05-27 |
| 1376814533 | Priscilla Miller | Nurse Practitioner | 4715 42nd Place, Meridian, MS 39305 | 2012-01-19 |
| 1497083927 | Kelley C Gowdy | Nurse Practitioner | 4711 Poplar Springs Drive, Meridian, MS 39305 | 2009-11-20 |
| Find all providers in zip 39305 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801216940 | Seth Branahl | Pediatrics | 520 S Eagle Rd Ste 2209, Meridian, ID 83642-6354 | 2014-04-16 |
| 1972872950 | John Dubard Mceachin | Pediatrics | 4820 Country Club Dr, Meridian, MS 39305-1839 | 2011-12-21 |
| 1841598273 | Anderson Physician Alliance, Inc. | Pediatrics | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307-7260 | 2011-03-09 |
| 1033435896 | Lisa S Labor | Pediatrics | 1620 S. Celebration, Meridian, ID 83642 | 2010-04-19 |
| 1770729063 | Alliance Medical Group, LLC | Pediatrics | 3280 E. Lanark Drive, Meridian, ID 83642 | 2008-12-17 |
| 1356504872 | Robert Ira Eubanks | Pediatrics | 1523 22nd Ave Ste B, Meridian, MS 39301-4016 | 2008-07-03 |
| 1063557163 | Eastgate Peds Care | Pediatrics | 2203 Highway 39 N Ste B, Meridian, MS 39301-2609 | 2007-02-20 |
| 1477501880 | Elsa J. Lee | Pediatrics | 1620 S Celebration Ave, Meridian, ID 83642-2779 | 2006-05-05 |
| 1356306740 | Kimberly D Ferguison | Pediatrics | 3277 E Louise Dr Ste 200, Meridian, ID 83642-9351 | 2006-04-19 |
| 1093797623 | Lara L. Ross | Pediatrics | 1500 Hwy 19 N, Meridian, MS 39307-5335 | 2005-11-18 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.