Individual provider Active NPI

Andrew Mark Schneider, M

  • Plastic Surgery Physician
  • Winston-Salem, NC
National Provider Identifier
1235170333
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
200001225739 Issued in NC
Practice address
2901 Maplewood Ave
Winston-Salem, NC 27103
Phone
(336) 765-8620
Fax
(336) 768-6236
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 200001225739 NC Primary

Addresses

Primary practice location

2901 Maplewood Ave
Winston-Salem, NC 27103

Mailing address

2901 Maplewood Ave
Winston-Salem, NC 27103
Phone (336) 765-8620

Other identifiers 5

IdentifierTypeStateIssuer
1223HOtherBCBS
30273OtherPARTNERS
89-1223HMedicaidNC
240007140OtherRAILROAD MEDICARE
87261OtherMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000308 NC Practitioner - Plastic and Reconstructive Surgery 3870407307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Plastic Surgical Assoc PAGroup PAC ID 9537358395, 4 clinicians

Practice addresses (Care Compare)

2901 Maplewood Ave
Winston Salem, NC 27103-4009
Phone (336) 765-8620

Hospital & facility affiliations

  • Novant Health Medical Park Hospital Hospital, Winston-Salem, NC, CCN 340148
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy18
Melanoma (skin cancer) excision27
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200001225739NCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Plastic Surgical Assoc PA Plastic Surgery CurrentSince Aug 1, 1999 Accepting new patients
Plastic Surgery Center of NC Inc PastSince Oct 11, 1996 Accepting new patients

Locations

2901 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 765-8620

Interoperability endpoints

  • Direct secure messaging: andrew.schneider.1@952.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Novant Health Medical Park HospitalWinston Salem, NC, CCN 340148 Hospital Corporate Director Jul 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1235170333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 MAPLEWOOD AVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-8620",
            "fax_number": "336-768-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MAPLEWOOD AVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-8620",
            "fax_number": "336-768-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ANDREW",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "200001225739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1223H",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "30273",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-1223H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240007140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "87261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

Verify at the official NPI Registry.