Provider Demographics
NPI:1659437739
Name:SCHULER, PEGGY LEE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:PEGGY
Middle Name:LEE
Last Name:SCHULER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 JACKSON
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65793-3542
Mailing Address - Country:US
Mailing Address - Phone:417-962-5639
Mailing Address - Fax:
Practice Address - Street 1:807 SOUTH BYP
Practice Address - Street 2:
Practice Address - City:KENNETT
Practice Address - State:MO
Practice Address - Zip Code:63857-3244
Practice Address - Country:US
Practice Address - Phone:573-888-0030
Practice Address - Fax:573-888-0040
Is Sole Proprietor?:No
Enumeration Date:2006-12-31
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006035757363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MONOT REQUIREDMedicaid
MOMA1510010Medicare PIN
MO137740010Medicare PIN
MO146640009Medicare PIN