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NPI Code Detail

MEDICARE: DR. DAVID C. SCHAEFER M.D., PH.D.

MEDICARE: DR. DAVID C. SCHAEFER M.D., PH.D.
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
1207RG0100XGastroenterology Physician27262MS
2207RG0100XGastroenterology Physician338542LA
3207RG0100XGastroenterology PhysicianMD053148LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437116811
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID C. SCHAEFER M.D., PH.D.
Provider Business Mailing Address
First Line : 2500 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39216-4500
Country : US
Telephone Number : 601-984-4540
Fax Number : 601-984-4548
Provider Business Practice Location Address
First Line : 2500 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39216-4500
Country : US
Telephone Number : 601-984-4540
Fax Number : 601-984-4548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 06/15/2026

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