Individual provider Active NPI

Marilee A Schuchard, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Fremont, CA
National Provider Identifier
1629091939
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G28782 Issued in CA
Practice address
38069 Martha Ave
Suite 300
Fremont, CA 94536-3811
Phone
(510) 744-9153
Fax
(510) 744-9399
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G28782 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X G28782 CA Primary

Addresses

Primary practice location

38069 Martha Ave
Suite 300
Fremont, CA 94536-3811

Mailing address

38069 Martha Ave
Suite 300
Fremont, CA 94536-3811
Phone (510) 744-9153

Other identifiers 1

IdentifierTypeStateIssuer
00G287820MedicaidCA

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

LicenseStateTypeSpecialty
28782CAMDClinical Social Worker
G28782CAMDPain Medicine (Anesthesiology) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1629091939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38069 MARTHA AVE",
            "address_2": "SUITE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363811",
            "telephone_number": "510-744-9153",
            "fax_number": "510-744-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38069 MARTHA AVE",
            "address_2": "SUITE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363811",
            "telephone_number": "510-744-9153",
            "fax_number": "510-744-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCHARD",
        "first_name": "MARILEE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G28782",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G28782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G287820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.