1881756229 NPI number — DR. TAMMY MARIE SCHEFF-PAUL O.D.

Table of content: DR. TAMMY MARIE SCHEFF-PAUL O.D. (NPI 1881756229)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881756229 NPI number — DR. TAMMY MARIE SCHEFF-PAUL O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHEFF-PAUL
Provider First Name:
TAMMY
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881756229
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
317 E AQUARIUM PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JENKS
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74037-6811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-296-4733
Provider Business Mailing Address Fax Number:
918-417-7661

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
317 E AQUARIUM PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JENKS
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74037-6811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-296-4733
Provider Business Practice Location Address Fax Number:
918-417-7661
Provider Enumeration Date:
12/14/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  OK2205 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200528520A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200004890A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".