Justine Marut Schober MD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MD030163E Issued in PA

Legal business name

JUSTINE MARUT SCHOBER MD

Practice address

333 State St
Suite 201
Erie, PA 16507-1450

Phone

(814) 455-5900

Fax

(814) 456-0667

NPI assigned

Sep 18, 2007

Organization subpart

Yes

Parent organization

JUSTINE MARUT SCHOBER MDAs reported in NPPES

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

Authorized official

Name

Dr. Justine Schober, MDNPI 1295730695

Title

Owner

Phone

(814) 455-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Justine Schober MD Doing business as

Part of

Daniel T Wendel DO

Locations

Practitioners 2

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

• Justine Schober

  • Urology Physician
  • Erie, PA
  • NPI 1295730695
  NPD (past) Authorized official
• Suzanne Mary Carstater, PA-C

  • Physician Assistant
  • Erie, PA
  • NPI 1487636361
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1154517704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 STATE ST",
            "address_2": "SUITE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071450",
            "telephone_number": "814-455-5900",
            "fax_number": "814-456-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 STATE ST",
            "address_2": "SUITE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071450",
            "telephone_number": "814-455-5900",
            "fax_number": "814-456-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTINE MARUT SCHOBER MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUSTINE MARUT  SCHOBER MD",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "SCHOBER",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-455-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "MD030163E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014615120003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justine Schober MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Mannarino, LCSW, LLC
• Austin Peter Jung, DO
• Katarzyna Jurecki, MD
• Maciek Jurecki, MD
• Justin Stilson LLC
• Mohammad Kabir, DO
• Justin Kacyon, PHARMD
• David Jonathan Kadouri, MD
• Alicia Rose Kadunce
• Samantha Kaiser, ATC

• Clinical Medical Laboratory in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.