Carol P Schreck, PA OT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA819 Issued in ME

Practice address

34 Summer St
Bangor, ME 04401-6467

Phone

(207) 992-2636

Fax

(207) 992-2638

NPI assigned

Mar 22, 2007

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1306962006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 UNION ST",
            "address_2": "SUITE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044018600",
            "telephone_number": "207-945-5247",
            "fax_number": "207-947-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SUMMER ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016467",
            "telephone_number": "207-992-2636",
            "fax_number": "207-992-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECK",
        "first_name": "CAROL",
        "middle_name": "P",
        "credential": "PA OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Schnabel
• Laura L Schneider-Look, CRNA
• Paul A Schneider, CRNA
• John M Schnell, APRN
• Danielle Ann Scholze, M.D.
• Stephanie Schreiber, AGPCNP
• Cassidy Hope Schuchmann, PA
• Steven Schulz, LCPC
• Dagan Schwartz
• Sally A Schwarze, NP

• Physician Assistant in Bangor, ME
• Providers in Bangor, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.