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Deactivated NPI 1740213743 Deactivated / Inactive NPI Male Practitioner

Dr. Gregory Schaefer , MD

Specialist • Nampa, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gregory Schaefer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 10, 2006
NPI Deactivation Date February 07, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Schaefer, MD was a registered Specialist practicing in Nampa, ID. Throughout an active medical career spanning 18 years, Dr. Schaefer provided care at the practice location at 1603 12TH AVE RD until profile deactivation on 2024-02-07.

Practice Location & Contact Primary Location

Practice Address

1603 12th Ave Rd
Ste B

Nampa, ID 836867712

Telephone 2084672400
Fax 2084676416
Associated Practice Facility / Clinic
🏢 Gregory N Schaefer M.d., P.a. Facility NPI 1073874780

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Nampa, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Nampa, ID (194 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M4187

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1053339457

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 07, 2024

Record deactivated on February 07, 2024

NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 23, 2011

Registered at 1603 12TH AVE RD, STE B, NAMPA, ID 836867712 (Tel: 2084672400)

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Updated Business Mailing Address November 23, 2011

Registered at 1603 12TH AVE RD, STE B, NAMPA, ID 836867712 (Tel: 2084672400)

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Provider Name / Credentials Updated November 23, 2011

Recorded as GREGORY SCHAEFER, M.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Specialist (License #M4187 in ID)

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Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740213743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: November 23, 2011
Deactivation Date: February 07, 2024

Mailing Address

1603 12th Ave Rd, Ste B

Nampa, ID 836867712

Phone: 2084672400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.