Organization Active NPI

Gary C Kohring & Raymond Schneider PTR

Doing business as Expresscare

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1649451865
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1683 Issued in AZ
Legal business name
GARY C KOHRING & RAYMOND SCHNEIDER PTR
Doing business as
Expresscare
Practice address
2034 S Alma School Rd
Suite 2
Mesa, AZ 85210-4004
Phone
(480) 831-0150
Fax
(480) 839-3492
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Raymond H Schneider III, D.O.
Title
Medical Director
Phone
(480) 831-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 1683 AZ Primary

Addresses

Primary practice location

2034 S Alma School Rd
Suite 2
Mesa, AZ 85210-4004

Mailing address

2034 S Alma School Rd
Suite 2
Mesa, AZ 85210-4004
Phone (480) 831-0150

Other identifiers 3

IdentifierTypeStateIssuer
1Z6731OtherAZHEALTHNET ID
5612078OtherAETNA PIN
CQ2504OtherAZRR MEDICARE

Other names 1

  • Expresscare Doing business as

National Provider Directory

National Provider Directory

Locations

2034 S Alma School Rd
Ste 2
Mesa, AZ 85210
Phone (480) 831-0150

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1649451865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 S ALMA SCHOOL RD",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104004",
            "telephone_number": "480-831-0150",
            "fax_number": "480-839-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 S ALMA SCHOOL RD",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104004",
            "telephone_number": "480-831-0150",
            "fax_number": "480-839-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY C KOHRING & RAYMOND SCHNEIDER PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-831-0150",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID",
            "identifier": "1Z6731",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "5612078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CQ2504",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expresscare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.