Organization Active NPI

Michele Schneider MD, LLC

  • Primary Care Clinic/Center
  • Glen Mills, PA
National Provider Identifier
1063738565
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD062197L Issued in PA
Legal business name
MICHELE SCHNEIDER MD, LLC
Practice address
33 Regency Plaza
871 Baltimore Pike
Glen Mills, PA 19342
Phone
(215) 850-8456
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Michele Lamoreux Schneider, MDNPI 1538103098
Title
Phsician/Owner
Phone
(215) 850-8456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD062197L PA Primary

Addresses

Primary practice location

33 Regency Plaza
871 Baltimore Pike
Glen Mills, PA 19342

Mailing address

PO Box 179
Thornton, PA 19373-0179
Phone (215) 850-8456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101119000630 PA Part B Supplier - Clinic/Group Practice 7012103781 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Mills, PA

National Provider Directory

National Provider Directory

Locations

37 Regency Plz
Glen Mills, PA 19342
Phone (610) 742-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1063738565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "THORNTON",
            "state": "PA",
            "postal_code": "193730179",
            "telephone_number": "215-850-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 REGENCY PLAZA",
            "address_2": "871 BALTIMORE PIKE",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "19342",
            "telephone_number": "215-850-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE SCHNEIDER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LAMOREUX",
        "authorized_official_title_or_position": "PHSICIAN/OWNER",
        "authorized_official_telephone_number": "215-850-8456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD062197L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.