Healthcare Provider Details

I. General information

NPI: 1457438590
Provider Name (Legal Business Name): JEFFREY S SCHIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 NORTH SMITH AVENUE CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA EMERGENCY
ST PAUL MN
55102
US

IV. Provider business mailing address

2910 CENTRE POINTE DRIVE CHILDRENS HEALTH CARE 35121A
ROSEVILLE MN
55113
US

V. Phone/Fax

Practice location:
  • Phone: 651-220-6914
  • Fax:
Mailing address:
  • Phone: 651-855-2327
  • Fax: 651-855-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number28300
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number28300
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number28300
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number28300
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: