KENNETH R SCHAEFER


Address: 13640 N Plaza Del Rio Blvd, Ste 220, Peoria, AZ 85381-4846
Phone: 6238763850

KENNETH R SCHAEFER (NPI# 1538113006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538113006
Entity Type Individual
Full Name KENNETH R SCHAEFER
Credential MD
Practice Address 13640 N Plaza Del Rio Blvd
Ste 220
Peoria
AZ 85381-4846
Mailing Address 13640 N Plaza Del Rio Blvd
Peoria
AZ 85381-4846
Practice Telephone 6238763850
Practice Fax Number 6238763809
Mailing Telephone 6238763800
Mailing Fax Number 6238763809
Enumeration Date 2006-05-20
Last Update Date 2008-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 9586 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 267668 05

Other Providers KENNETH SCHAEFER

NPI Name Taxonomy Address Enumeration
1003189762 Kenneth Schaefer Pharmacist 527 Linden Ct, Verona, WI 53593-1683 2012-02-10
1770777534 Kenneth Richaed Schaefer Dentist 1605 Nueces St, Austin, TX 78701-1171 2007-09-04
1164580551 Kenneth Barry Schaefer Internal Medicine 7 Petrus Ave, Staten Island, NY 10312-3709 2006-12-05
1831132315 Kenneth Russell Schaefer Pharmacist 4202 Mountain Ln, Wausau, WI 54401-8500 2006-06-13
1982929675 Kenneth Scott Schaefer Physician Assistant 9990 Double R Blvd, Suite 200, Reno, NV 89521-6014 2010-04-06

Office Location

Street Address 13640 N PLAZA DEL RIO BLVD
STE 220
City PEORIA
State AZ
Zip Code 85381-4846

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649279654 John Peter Kieley Internal Medicine 13640 N Plaza Del Rio Blvd, Suite 220, Peoria, AZ 85381-4846 2005-07-20
1366913618 Krishna Keshav Nurse Practitioner 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 2018-12-16
1871062158 Samantha Mae Boartfield Pharmacist 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2018-11-16
1790236487 Israa Al-sayyed Physician Assistant 13640 N Plaza Del Rio Blvd, Ste 340, Peoria, AZ 85381-4846 2016-10-18
1326408444 Banner Pharmacy Services LLC Pharmacy 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2016-03-02
1801278981 Shin Jung Yoon Family Medicine 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 2015-06-24
1831584044 Michelle Obillo Prestoza Family Medicine 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2015-04-03
1578967162 Tina Marino Nurse Practitioner 13640 N Plaza Del Rio Blvd, Suite 230, Peoria, AZ 85381-4846 2014-10-10
1396156139 Banner Health Non-Pharmacy Dispensing Site 13640 N Plaza Del Rio Blvd, 3rd Floor, Suite 350, Peoria, AZ 85381-4846 2014-05-14
1932522836 Deborah L. Burns Registered Nurse 13640 N Plaza Del Rio Blvd, 210, Peoria, AZ 85381-4846 2014-01-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932712122 Vicki L Grenier Registered Nurse 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 2020-08-26
1568934107 Earthwalk Wellness Group, LLC Social Worker 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 2018-12-20
1316412059 John & Biljana Feeley Dba J & B Assisted Living IIi Inc Community Based Residential Treatment Facility, Mental Illness 7331 W Sweetwater Avenue, Peoria, AZ 85381 2018-10-09
1467958611 Arizona Community Pharmacy Pharmacy 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 2018-04-04
1083112106 Marissa Lynn Desjardins Physical Therapist 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 2018-01-23
1235651399 Power Back Batteries LLC Durable Medical Equipment & Medical Supplies 9054 West Lisbon Ave, Peoria, AZ 85381 2017-07-11
1457897027 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 7524 W. Alexandria Way, Peoria, AZ 85381 2017-01-06
1386023448 Scott Boone Registered Nurse 7715 W Watson Ln, Peoria, AZ 85381 2015-05-22
1881084838 Pinnacle Women's Center LLC Obstetrics & Gynecology 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 2015-01-29
1245637081 Kathi Locke Counselor 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 2014-11-21
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841779063 Chris Brooker Do Pllc Internal Medicine 7747 W Deer Valley Rd Ste 250, Peoria, AZ 85382-2124 2018-08-08
1447736665 Artem Aesthestics & Wellness LLC Internal Medicine 9059 W Lake Pleasant Pkwy Ste C320, Peoria, AZ 85382-8394 2018-07-11
1568956670 Mckenzie Elle Wylie Internal Medicine Unity Point Health 815 Main St, Suite C, Peoria, IL 61602-1080 2018-06-21
1013417617 Elite Infusions LLC Internal Medicine 10252 W Villa Chula, Peoria, AZ 85383 2018-02-20
1518318005 Jason Thomas Taylor Internal Medicine 538 Ne Glen Oak Ave, Peoria, IL 61637-0001 2016-06-26
1134508112 Anthony Alexander Baldoni Internal Medicine Saint Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2015-05-25
1194133850 Ashish Kumar Roy Internal Medicine 530 N.e. Glen Oak Ave, Peoria, IL 61637 2014-07-25
1083047401 Paul Stuart Moots Internal Medicine 929 W Loire Ct, Apt 1211, Peoria, IL 61614-1850 2013-08-21
1386085975 Amit Bhushan Sharma Internal Medicine 1505 N Peoria Ave # Appt806, Peoria, IL 61603-3140 2013-07-10
1205171709 Amruta Surendra Jaju Internal Medicine 5401 N Knoxville Ave Ste 204, Peoria, IL 61614-5021 2012-12-10
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Competitor

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City PEORIA
Zip Code 85381

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Dataset Information

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.

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