NPIMap

David Edward Schneider, MD

Individual provider Active NPI Family Medicine Physician · Apple Valley, MN

NPI 1164579017 · NPPES record last updated Feb 25, 2016

Key facts

NPI
1164579017
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
28301 (MN)
Practice address
15290 Pennock LN
Apple Valley, MN 55124-7163
Phone
(952) 767-2326
Fax
(952) 593-5187
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Now Medical, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28301 MN Yes

Addresses

Primary practice location

15290 Pennock LN
Apple Valley, MN 55124-7163

Mailing address

15290 Pennock LN
Apple Valley, MN 55124-7163
Phone (952) 767-2326

Other identifiers

IdentifierTypeStateIssuer
04R49SCOtherMNBLUE CROSS
1000912OtherMNPREFERRED ONE
930112648OtherMNMEDICARE RAILROAD
22254OtherMNAMERICA'S PPO
66-00615OtherMNMEDICA
618275500OtherMNDEPT HUMAN SERVICES
618275500MedicaidMN
618275500OtherMNMEDICAL ASSISTANCE

Other providers in Apple Valley, MN

All providers in Apple Valley, MN · Family Medicine Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.