Provider Demographics
NPI:1295843225
Name:SCHAEFER, SCOTT THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:THOMAS
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7450 FRANCE AVE S
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4787
Mailing Address - Country:US
Mailing Address - Phone:952-832-8100
Mailing Address - Fax:952-832-8148
Practice Address - Street 1:7450 FRANCE AVE S
Practice Address - Street 2:SUITE 100
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4787
Practice Address - Country:US
Practice Address - Phone:952-832-8100
Practice Address - Fax:952-832-8148
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2011-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN44604207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1294189OtherFIRST HEALTH/COVENTRY HLT
MN7737477OtherAETNA INS
MNHP35710OtherHEALTHPARTNERS
MN0801673OtherMEDICA
MN180001325OtherMEDICARE
MN960561031417OtherPREFERRED ONE
MN1031417OtherPREFERRED ONE
MN1295843225OtherAMERICA'S PPO
MN142777OtherUCARE MN
MN1652146OtherAMERICA'S PPO
MN0800890OtherMEDICA
MN080482700Medicaid
MN64G33SCOtherBCBS OF MN
MN852K6SCOtherBCBS
MN0800890OtherMEDICA
MN0801673OtherMEDICA
MN960561031417OtherPREFERRED ONE
MN180044657Medicare ID - Type UnspecifiedRR MEDICARE