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NPI Code Detail

MEDICARE: KEITH R SCHREFFLER JR. MD

MEDICARE: KEITH R SCHREFFLER JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician01045385AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1930106016OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000191937OTHERINANTHEM BC/BS

General Provider Information

NPI Number : 1013993351
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH R SCHREFFLER JR. MD
Provider Business Mailing Address
First Line : PO BOX 151
Second Line :
City : DECATUR
State : IN
Zip : 46733-0151
Country : US
Telephone Number : 260-724-2145
Fax Number : 317-957-2750
Provider Business Practice Location Address
First Line : 1316 E 7TH ST
Second Line :
City : AUBURN
State : IN
Zip : 46706-2523
Country : US
Telephone Number : 260-925-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 02/09/2021

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