Active NPI
Eileen Mary Schnog, PA-C
- Medical Physician Assistant
- Glendale, AZ
National Provider Identifier
1487694063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1580
- Practice address
- 7200 W Bell Rd
BLDG. a
Glendale, AZ 85308-8529 - Phone
- (623) 487-4822
- Fax
- (623) 334-9881
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1580 | AZ | Primary |
Addresses
Primary practice location
7200 W Bell Rd
BLDG. a
Glendale, AZ 85308-8529
Mailing address
1760 E River Rd
Suite 350
Tucson, AZ 85718-5877
Phone (520) 519-7775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 638304 | Medicaid | AZ |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1580 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Oncology & Hematology, PC | Past | Accepting new patients | |
| Arizona Oncology Associates PC | Past | Accepting new patients |
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.
-
- Specialist
- Tucson, AZ
- NPI 1578587671
-
- Hematology & Oncology Physician
- Phoenix, AZ
- NPI 1033161757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1487694063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 E RIVER RD",
"address_2": "SUITE 350",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185877",
"telephone_number": "520-519-7775",
"fax_number": "520-519-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 W BELL RD",
"address_2": "BLDG. A",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088529",
"telephone_number": "623-487-4822",
"fax_number": "623-334-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNOG",
"first_name": "EILEEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "1580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "638304",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.