GERALD BRADLEY SCHAEFER (NPI# 1225089204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225089204 |
| Entity Type | Individual |
| Full Name | GERALD BRADLEY SCHAEFER |
| Credential | MD |
| Practice Address |
2601 Gene George Blvd Springdale AR 72762-0845 |
| Mailing Address |
1 Childrens Way # 653 Little Rock AR 72202-3500 |
| Practice Telephone | 4797256880 |
| Practice Fax Number | 4797256582 |
| Mailing Telephone | 5013641100 |
| Mailing Fax Number | 5013644082 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
E5822 | AR | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
18185 | NE | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
E5822 | AR | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
18185 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 126153001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750852158 | Gerald Charles Schaefer | Behavior Technician | 1050 Fulton Ave # Siut235, Sacramento, CA 95825-4272 | 2018-12-10 |
| Street Address |
2601 GENE GEORGE BLVD |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-0845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811985302 | Perry Lee Wilbur | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2005-10-10 |
| 1801448022 | Breanne Witherspoon | Audiologist | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2019-07-09 |
| 1699273839 | Justin Neal Morgan | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2018-01-23 |
| 1831602135 | Amanda Schafer Quick | Nurse Practitioner | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2017-11-08 |
| 1629599287 | Michelle Nicole Phillips | Emergency Medicine | 2601 Gene George Blvd, Springdale, AR 72762 | 2017-07-03 |
| 1063878387 | Wesley Mcgehee | Physician Assistant | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2016-01-04 |
| 1114305901 | Sara Reed | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2015-05-12 |
| 1578951539 | Sara Rachel Prine | Nurse Anesthetist, Certified Registered | 2601 Gene George Blvd, Springdale, AR 72762 | 2014-12-29 |
| 1285053272 | Sarah Jeffreys | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2014-04-08 |
| 1811315310 | Rachel A Mckelvy | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497923155 | William Richard Collie Iv | Medical Genetics | 17724 Interstate 30, Ste 2, Benton, AR 72019-2907 | 2008-02-15 |
| 1619179306 | Elizabeth Sellars | Medical Genetics | 1 Childrens Way # 512-22, Little Rock, AR 72202-3500 | 2007-06-04 |
| 1699983155 | Thomas Andrew Burrow | Medical Genetics | 1 Childrens Way, Slot 512-22, Little Rock, AR 72202-3500 | 2007-05-18 |
| 1407946064 | Mary Curtis | Medical Genetics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1457320913 | Adolfo D. Garnica | Medical Genetics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2006-03-16 |
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on GERALD BRADLEY SCHAEFER.
| 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.