JEFFRY BEN SCHAFER (NPI# 1619029113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619029113 |
Entity Type | Individual |
Full Name | JEFFRY BEN SCHAFER |
Credential | MD |
Practice Address |
230 Prospect Pl Suite 350 Coronado CA 92118-1978 |
Practice Telephone | 6194371388 |
Practice Fax Number | 6194371857 |
Mailing Telephone | 6194371388 |
Mailing Fax Number | 6194371857 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
G36897 | CA | Allopathic & Osteopathic Physicians |
X | 208200000X | Plastic Surgery | G36897 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G368970 | 05 |
Street Address |
230 PROSPECT PL SUITE 350 |
City | CORONADO |
State | CA |
Zip Code | 92118-1978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124021779 | Nancy B. Murray | Dermatology | 230 Prospect Pl, Ste 260, Coronado, CA 92118-1987 | 2005-05-27 |
1457847931 | Meredith Ackerman | Pharmacist | 230 Prospect Pl, Coronado, CA 92118-1978 | 2018-07-08 |
1255710067 | Synergy Specialists Medical Group | Specialist | 230 Prospect Pl, Suite 230, Coronado, CA 92118-1978 | 2015-05-26 |
1386047660 | Coronado Cosmetic Surgery Center, Inc. | Clinic/Center | 230 Prospect Pl, Suite 310, Coronado, CA 92118-1978 | 2014-10-01 |
1265855506 | Crown Island Family Practice A Medical Corporation | Family Medicine | 230 Prospect Pl, Suite 350, Coronado, CA 92118-1978 | 2014-01-22 |
1558645374 | Rana Ann Michi Ram | Emergency Medicine | 230 Prospect Pl, Suite 310, Coronado, CA 92118-1978 | 2011-09-29 |
1720312051 | Natasha Hicks Lubrano | Nurse Practitioner | 230 Prospect Pl, 340b, Coronado, CA 92118-1978 | 2009-09-18 |
1013051879 | Chris Lopatosky | Physician Assistant | 230 Prospect Pl, Suite 340 B, Coronado, CA 92118-1978 | 2007-02-16 |
1417003880 | Barbara Ellen Bauer | Dietitian, Registered | 230 Prospect Pl, Coronado, CA 92118-1978 | 2007-01-26 |
1164506408 | Karen Gordon | Internal Medicine | 230 Prospect Pl, Suite 220, Coronado, CA 92118-1978 | 2006-10-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962997643 | Natalie Bailey | Dentist | 1010 8th St Ste A, Coronado, CA 92118 | 2018-06-26 |
1639661143 | Rebecca L. Frazier | Acupuncturist | 543 Orange Ave., Coronado, CA 92118 | 2018-05-31 |
1376046201 | Laura Mead Clapper | Pediatrics | 840 Adella Ave, Coronado, CA 92118 | 2018-03-16 |
1154836336 | Sarah R Peck | Occupational Therapy Assistant | 1530 Da Nang Dr Apt C, Coronado, CA 92118 | 2017-12-09 |
1962921395 | Jennifer Waidelich | Physical Therapist | 410 E Ave, Coronado, CA 92118 | 2017-09-18 |
1861843641 | Cliff Lovick I | Counselor | 1522 Frist St. Apt M 106, Coronada, CA 92118 | 2016-06-23 |
1184004871 | Melanie Villalobos | Dentist | 1001 B Ave #313, Coronado, CA 92118 | 2015-06-08 |
1801273479 | Jacqueline Brogan | Dermatology | 230 Prospect Pl Ste 260, Coronado, CA 92118 | 2015-05-02 |
1790184083 | Robert Cole Dunlap | Optometrist | 810 J Avenue, Coronado, CA 92118 | 2014-08-22 |
1235493602 | Jin Ah | Acupuncturist | 2425 Camino De Rio South, Suite 180, San Diego, CA 92118 | 2012-06-29 |
Find all providers in zip 92118 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
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1548751183 | Farhad Ardesh Md Inc | Otolaryngology | 11620 Wilshire Blvd Ste 280, Los Angeles, CA 90025-1263 | 2018-05-18 |
1174943377 | Sunny Park Md, Inc | Otolaryngology | 901 Dover Dr Ste 126, Newport Beach, CA 92660-5546 | 2014-04-26 |
1154743987 | Keith Jay Wahl | Otolaryngology | 8735 Nottingham Pl, La Jolla, CA 92037-2129 | 2014-01-14 |
1295179570 | Ari Joseph Hyman | Otolaryngology | 16311 Ventura Blvd Ste 600, Encino, CA 91436-2134 | 2013-04-17 |
1710229893 | Zachary Calnan Fridirici | Otolaryngology | 2233 Post St Fl 3, San Francisco, CA 94115 | 2013-03-26 |
1376883975 | Su Mai | Otolaryngology | 13071 Brookhurst St Ste 150, Garden Grove, CA 92843-1024 | 2013-02-20 |
1710244892 | Meaghan Noud | Otolaryngology | 421 Post St Fl 14, San Francisco, CA 94102 | 2012-04-13 |
1508164500 | Dr. Sasha Maher D.o. | Otolaryngology | 10861 Cherry St Ste 106, Los Alamitos, CA 90720-5403 | 2011-03-01 |
1871804187 | Edwin E Breitenbach | Otolaryngology | 2601 Augusta, Tustin, CA 92782-1201 | 2010-07-01 |
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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.