David Ryan Schaner

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

AL10009H Issued in AZ

Practice address

12533 W Coldwater Springs Blvd
Avondale, AZ 85323-8320

Phone

(623) 466-7673

Fax

(623) 399-6041

NPI assigned

Jul 15, 2016

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1356794150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12533 W COLDWATER SPRINGS BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238320",
            "telephone_number": "623-466-7673",
            "fax_number": "623-399-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12533 W COLDWATER SPRINGS BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238320",
            "telephone_number": "623-466-7673",
            "fax_number": "623-399-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANER",
        "first_name": "DAVID",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "AL10009H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunja Saville
• Rachel Andrea Saxton, RN
• Charmaigne Scanes, FNP
• Matthew Allen Scarnecchia, PHARMACIST
• Lauren Scarponi
• Ann Marie Schelonka
• Tyler Scherwinski
• Dominique Schirripa
• Suzanne Schlacks, PA-C
• Michael Masao Schmalle, OD

• Exclusive Provider Organization in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.