Provider Demographics
NPI:1770591760
Name:SCHAFER, CHRISTOPHER STEPHEN (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:STEPHEN
Last Name:SCHAFER
Suffix:
Gender:
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:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:888-472-0043
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:2145 HENRY TECKLENBURG DR STE 220
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5894
Practice Address - Country:US
Practice Address - Phone:843-723-8823
Practice Address - Fax:843-766-6551
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC897363A00000X, 363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1225006760OtherGROUP NPI #
SC1326287434OtherGROUP MEDICARE DME NPI #
SC56162OtherMEDCOST PAYOR ID
SC20076508OtherGROUP SELECT HEALTH DME #
SC461555OtherGROUP MEDICARE DME #
SCCD28777OtherGROUP MEDICARE RAILROAD #
SC57-0634057OtherGROUP TAX ID #
SC1701OtherGROUP MEDICARE PIN
SCPA0971OtherGROUP MEDICAID #
SC042299001OtherGROUP DMERC #
SC20000499OtherGROUP SELECT HEALTH PROVIDER #
SC56162OtherMEDCOST PAYOR ID
SC461555OtherGROUP MEDICARE DME #