Active NPI
David T Schulz, DO
- General Practice Physician
- Clarksville, IN
National Provider Identifier
1407077928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 03852
- Practice address
- 2051 Clevidence Blvd Ste a
Clarksville, IN 47129-2278 - Phone
- (812) 282-1720
- Fax
- (812) 280-6636
- NPI assigned
- May 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0746 | TN | |
| General Practice Physician | 208D00000X | 03852 | KY | Primary |
Addresses
Primary practice location
2051 Clevidence Blvd Ste a
Clarksville, IN 47129-2278
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicsoap.nortonhealthcare.org/ | ||
| Direct Messaging Address | dschulz80312@direct.nortonhealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0746 | TN | MD | Internal Medicine Physician |
| 03852 | KY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Past | Accepting new patients |
Locations
2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650
2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1407077928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 CLEVIDENCE BLVD STE A",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471292278",
"telephone_number": "812-282-1720",
"fax_number": "812-280-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "DAVID",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "D0746",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KY",
"license": "03852",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/",
"affiliation": "N",
"address_1": "2051 Clevidence Blvd Ste A",
"city": "Clarksville",
"state": "IN",
"country_code": "US",
"postal_code": "471292278",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dschulz80312@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "2051 Clevidence Blvd Ste A",
"city": "Clarksville",
"state": "IN",
"country_code": "US",
"postal_code": "471292278",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.