DR. EDWARD THOMAS SCHAEFER (NPI# 1114369279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114369279 |
| Entity Type | Individual |
| Full Name | DR. EDWARD THOMAS SCHAEFER |
| Credential | D.O. |
| Practice Address |
435 Phalen Blvd Ms 51103b Saint Paul MN 55130 |
| Mailing Address |
8170 33rd Ave S Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 6512548680 |
| Mailing Telephone | 6512548680 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 65223 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | Q8630 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467846519 | Edward H Schaefer Iv | Dentist | 201 Ridge St Ste 308, Council Bluffs, IA 51503-4643 | 2015-03-26 |
| 1275507444 | Edward William Schaefer Jr. | Internal Medicine | 10710 Charter Dr, Suite 310, Columbia, MD 21044-3260 | 2006-02-15 |
| Street Address |
435 PHALEN BLVD MS 51103B |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740720812 | Nicole Renee Hoisser | Nurse Practitioner | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-03-08 |
| 1922548809 | Amy Jo Porter | Specialist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-02-27 |
| 1285186619 | Katherine Jonas | Physician Assistant | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-11-02 |
| 1316491970 | Angela Kezar | Occupational Therapist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-08-11 |
| 1760833446 | Marie-pier Winters | Physical Therapist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-06-24 |
| 1376904698 | Michaelen Elise Sundstrom | Physical Therapist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-03-14 |
| 1932568524 | Lindsay Knight | Specialist/Technologist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-02-11 |
| 1134594310 | Dawn Babcock | Nurse Practitioner | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2015-12-14 |
| 1750767158 | Leonardo E Candelario Perez | Psychologist | 435 Phalen Blvd, Saint Paul, MN 55130 | 2015-08-07 |
| 1487030490 | Clinton Mccullough | Specialist/Technologist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174939706 | Bjorn Bakken | Internal Medicine | 1021 Bandana Blvd E Ste 250, Saint Paul, MN 55108-5113 | 2014-07-03 |
| 1679997936 | Keith Eugene Folkert | Internal Medicine | 2122 Highland Pkwy, Saint Paul, MN 55116-1313 | 2014-02-06 |
| 1255607321 | Louis A Sagert | Internal Medicine | 497 Curfew St, Saint Paul, MN 55104-4912 | 2012-03-22 |
| 1912137944 | Dominic Rossini | Internal Medicine | 116 W Pleasant Lake Rd, Saint Paul, MN 55127-2621 | 2009-07-24 |
| 1639367865 | Kerwin T Chan | Internal Medicine | 45 10th St W Ste A, Saint Paul, MN 55102-1062 | 2007-10-12 |
| 1861696056 | Emily Ruth Conover Downing | Internal Medicine | 1055 Westgate Drive, Suite 100, Allina Home and Community Services, Saint Paul, MN 55114 | 2007-06-12 |
| 1750304580 | Bobby Khue Yang | Internal Medicine | 1047 University Ave W Ste 101, Saint Paul, MN 55104-4751 | 2006-07-25 |
| 1093746000 | Salima Mithani | Internal Medicine | 2005 Ford Pkwy, Saint Paul, MN 55116-1932 | 2006-07-06 |
| 1609803766 | Peter Cermak | Internal Medicine | Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 | 2006-06-26 |
| 1619903093 | Shannon Canas | Internal Medicine | 1000 Westgate Dr, Suite 149, Saint Paul, MN 55114-8612 | 2006-06-25 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
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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.