Stephan N Schott, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0769 Issued in TN

Practice address

306 Landrum PL
Clarksville, TN 37043-4648

Phone

(931) 648-1920

Fax

(931) 503-0346

NPI assigned

Oct 6, 2005

Last updated

Nov 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Drive Family Practice

  • Family Medicine Physician
  • Clarksville, TN
  • NPI 1154318954
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1053308882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3857",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370430857",
            "telephone_number": "931-648-1920",
            "fax_number": "931-503-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 LANDRUM PL",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434648",
            "telephone_number": "931-648-1920",
            "fax_number": "931-503-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "STEPHAN",
        "middle_name": "N",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "D0769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3712519",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Paige Schmittou
• Lauren Gelsomini Schneider, CCC-SLP
• Phillip Schneider, MD
• Edwin Dale Schoonover, M.D.
• Amanda Schorr, SLPA
• Laurie A Schroder, PT
• Maureen Schroettner, FNP-C
• Lara Schultz, MS, BCBA
• Stephanie L Schultz
• Christie Lou Schumacher, DNP, PMHNP

• Family Medicine Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.