Active NPI
Schneider Family Practice LLC
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1558620286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4036
- Legal business name
- SCHNEIDER FAMILY PRACTICE LLC
- Practice address
- 5060 N 40TH St
Ste 108
Phoenix, AZ 85018-2145 - Phone
- (602) 845-1670
- Fax
- (602) 445-6871
- NPI assigned
- May 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marvin C Schneider, M.D.
- Title
- Owner/Physician
- Phone
- (602) 845-1670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4036 | AZ | Primary |
Addresses
Primary practice location
5060 N 40TH St
Ste 108
Phoenix, AZ 85018-2145
Mailing address
5150 N 16TH St
Ste B232
Phoenix, AZ 85016-3990
Phone (602) 845-1670
National Provider Directory
National Provider DirectoryLocations
5060 N 40th St
Ste 108
Phoenix, AZ 85018
Phone (602) 464-9576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1558620286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 N 16TH ST",
"address_2": "STE B232",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163990",
"telephone_number": "602-845-1670",
"fax_number": "602-445-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 N 40TH ST",
"address_2": "STE 108",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182145",
"telephone_number": "602-845-1670",
"fax_number": "602-445-6871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHNEIDER FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-15",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "MARVIN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "602-845-1670",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "4036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.