Active NPI
Steven J Schneider, M.D.
- Family Medicine Physician
- Sanford, ME
National Provider Identifier
1376509646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 011871
- Practice address
- 25A June St
Sanford, ME 04073-2642 - Phone
- (207) 324-8311
- Fax
- (207) 324-7899
- NPI assigned
- Apr 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 011871 | ME | Primary |
Addresses
Primary practice location
25A June St
Sanford, ME 04073-2642
Mailing address
25A June St
Sanford, ME 04073-2642
Phone (207) 490-7728
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025353 | Other | ME | ANTHEM |
| 2071311 | Other | ME | AETNA |
| 295150099 | Medicaid | ME | |
| C66135 | Other | ME | HARVARD PILGRIM |
| 610108601 | Other | ME | CIGNA |
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 |
|---|---|---|---|
| 011871 | ME | MD | Family Medicine Physician |
Interoperability endpoints
- sschneider157063@direct.mmc.mainehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376509646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25A JUNE ST",
"city": "SANFORD",
"state": "ME",
"postal_code": "040732642",
"telephone_number": "207-490-7728",
"fax_number": "207-490-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25A JUNE ST",
"city": "SANFORD",
"state": "ME",
"postal_code": "040732642",
"telephone_number": "207-324-8311",
"fax_number": "207-324-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "011871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "025353",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2071311",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "295150099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "C66135",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "610108601",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.