Healthcare Provider Details

I. General information

NPI: 1033479720
Provider Name (Legal Business Name): MARIE ANN SCHAEFER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2012
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 TRANSPORTATION BLVD
GARFIELD HEIGHTS OH
44125-5371
US

IV. Provider business mailing address

1730 W 25TH ST STE 6E
CLEVELAND OH
44113-3108
US

V. Phone/Fax

Practice location:
  • Phone: 216-425-7257
  • Fax: 216-771-5873
Mailing address:
  • Phone: 216-363-2222
  • Fax: 216-771-5873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number35.123858
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.123858
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: