Individual provider Active NPI

Thomas A Schneider II, M.D.

  • Surgery Physician
  • Saint Charles, MO
National Provider Identifier
1255392189
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R8N35 Issued in MO
Practice address
400 1St Capitol Dr
Saint Charles, MO 63301-2880
Phone
(636) 940-5710
Fax
(636) 669-2401
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R8N35 MO Primary
Vascular Surgery Physician 2086S0129X R8N35 MO

Addresses

Primary practice location

400 1St Capitol Dr
Saint Charles, MO 63301-2880

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

330 1st Capitol Dr Ste 100A
Saint Charles, MO 63301-2846
Phone (636) 699-2332

Other identifiers 1

IdentifierTypeStateIssuer
206970808MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tschneider27216@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100211000223 MO Practitioner - General SurgeryPractitioner - Vascular Surgery 9830232966 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis Vascular Surgery CurrentSince Jan 1, 2016 Accepting new patients
Mercy Clinic Surgical Specialists, LLC Surgery CurrentSince Jun 20, 2022 Accepting new patients
Allegiant Pathologists LLC Current Accepting new patients
Mercy Clinic Joplin LLC Surgery CurrentSince Feb 15, 2023 Accepting new patients
Mercy Clinic Joplin LLC Surgery CurrentSince Feb 15, 2023 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Mercy Way
Ste 310
Joplin, MO 64804

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

330 1st Capitol Dr
Ste 100A
Saint Charles, MO 63301
Phone (636) 669-2332

400 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2332

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

1551 Wall St
Ste 400
Saint Charles, MO 63303
Phone (636) 462-6106

400 1st Capitol Dr
Ste 201
Saint Charles, MO 63301
Phone (636) 379-6363

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1255392189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012880",
            "telephone_number": "636-940-5710",
            "fax_number": "636-669-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 1st Capitol Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633012846",
            "country_code": "US",
            "telephone_number": "636-699-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R8N35",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "R8N35",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206970808",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tschneider27216@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tschneider27216@direct-ehr-ssmhc.com",
            "address_1": "330 1st Capitol Dr Ste 100A",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633012846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "330 1st Capitol Dr Ste 100A",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633012846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.