Active NPI
Gregory William Schneider, MD
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1245496223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23350
- Practice address
- 5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878 - Phone
- (702) 463-4040
- Fax
- (702) 968-5681
- NPI assigned
- Jul 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2006-0167 | NM | |
| Family Medicine Physician | 207Q00000X | ME126981 | FL | |
| Family Medicine Physician | 207Q00000X | 23350 | NV | Primary |
Addresses
Primary practice location
5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878
Mailing address
5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878
Phone (702) 463-4040
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23350 | Other | NV | NEVADA MEDICAL LICENSE |
| MD2006-0167 | Other | NM | NM LICENSE |
| ME126981 | Other | FL | FLORIDA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126981 | FL | MD | Family Medicine Physician |
| MD2006-0167 | NM | MD | Family Medicine Physician |
Interoperability endpoints
- gregory.schneider.1@14931.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1245496223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5380 S RAINBOW BLVD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181878",
"telephone_number": "702-463-4040",
"fax_number": "702-968-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 S RAINBOW BLVD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181878",
"telephone_number": "702-463-4040",
"fax_number": "702-968-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "GREGORY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-30",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2006-0167",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME126981",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "23350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA MEDICAL LICENSE",
"identifier": "23350",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM LICENSE",
"identifier": "MD2006-0167",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE",
"identifier": "ME126981",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.