Stephen Matthew Schneider, PA C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA052639 Issued in PA

Practice address

34TH Street and Civic Center Blvd
3Rd Floor Wood
Philadephia, PA 19104-4399

Phone

(215) 590-2775

Fax

(267) 426-7335

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Children'S Surgical Associates LTD

  • Pediatric Surgery Physician
  • Philadelphia, PA
  • NPI 1760562581
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1285772111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 EASTON RD",
            "address_2": "SUITE 2500",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762906",
            "telephone_number": "215-918-5775",
            "fax_number": "215-918-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34TH STREET AND CIVIC CENTER BLVD",
            "address_2": "3RD FLOOR WOOD",
            "city": "PHILADEPHIA",
            "state": "PA",
            "postal_code": "191044399",
            "telephone_number": "215-590-2775",
            "fax_number": "267-426-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "STEPHEN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MA052639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Term Care at Home Association
• Jessica Perfetto, MD
• Philadelphia Discount Pharmacy LLC
• Rising Sun Family Practice Center, Inc.
• Benjamin J Samelson-Jones, MD
• Ronald Sherman, PHD

• Pediatrics Physician in Philadephia, PA
• Providers in Philadephia, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.