Edward Schneider MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G20679 Issued in CA

Legal business name

EDWARD SCHNEIDER MD INC

Practice address

1017 W Lincoln Rd
Stockton, CA 95207-2515

Phone

(209) 951-3945

Fax

(209) 954-9205

NPI assigned

Aug 31, 2012

Organization subpart

No

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

Authorized official

Name

Edward Schneider, MD

Title

President

Phone

(209) 951-3945

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1134478472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W LINCOLN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072515",
            "telephone_number": "209-951-3945",
            "fax_number": "209-954-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W LINCOLN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072515",
            "telephone_number": "209-951-3945",
            "fax_number": "209-954-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD SCHNEIDER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-951-3945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G20679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G209670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.