Active NPI
Mark Alan Schuchard, IDC
- Independent Duty Corpsman
- Kailua, HI
National Provider Identifier
1629269949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 4182 Hamehame St
Kailua, HI 96734-6824 - Phone
- (858) 717-6392
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
4182 Hamehame St
Kailua, HI 96734-6824
Mailing address
3001 Alfa 6TH Street
Mable Hospital Great Lakes
Great Lakes, IL 60088-5230
Phone (847) 688-5523
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1629269949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 ALFA 6TH STREET",
"address_2": "MABLE HOSPITAL GREAT LAKES",
"city": "GREAT LAKES",
"state": "IL",
"postal_code": "600885230",
"telephone_number": "847-688-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4182 HAMEHAME ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967346824",
"telephone_number": "858-717-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUCHARD",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "IDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.