Organization Active NPI

Schneider Family Practice LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1558620286
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4036 Issued in AZ
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

Updated by the provider on Feb 4, 2014

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.