Provider Demographics
NPI:1467492520
Name:SCHAFFER, DANIEL ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ARTHUR
Last Name:SCHAFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35781
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-0781
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6750 W 52ND AVE
Practice Address - Street 2:F
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3956
Practice Address - Country:US
Practice Address - Phone:720-898-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243461207ZP0102X, 207ZH0000X
CO45309207ZP0102X, 207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1467492520Medicaid
VA10032667OtherOPTIMAHEALTH
VAMC10463Medicare PIN