Active NPI
Paul D Schneider, M.D.
- Internal Medicine Physician
- Lakewood, WA
National Provider Identifier
1821086208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD000015726
- Practice address
- 10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036 - Phone
- (253) 589-7030
- Fax
- (253) 589-7033
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD000015726 | WA | Primary |
| Nephrology Physician | 207RN0300X | MD000015726 | WA |
Addresses
Primary practice location
10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036
Mailing address
10510 Gravelly Lake Dr SW
Tacoma, WA 98499-5036
Phone (253) 597-7030
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065674 | Other | WA | LABOR AND INDUSTRIES |
| 4423SC | Other | WA | REGENCE BS SPECIALIST |
| 538388831 | Other | WA | CIGNA |
| 0190391 | Other | WA | OMAC-IME |
| 911503824 | Other | WA | KITSAP HEALTH PLANS |
| 215253001 | Other | WA | GROUP HEALTH WASHINGTON |
| 1062991 | Medicaid | WA | |
| 911503824 | Other | WA | TRICARE |
| 911503824 | Other | WA | PACIFICARE WASHINGTON |
| 4668902 | Other | WA | AETHA INSURANCES |
| 911503824 | Other | WA | MOLINA HEALTH CARE |
| 911503827 | Other | WA | PRIVATE HEALTHCARE SYSTEM |
| 0180985 | Other | WA | LABOR & INDUSTRIES IME |
| 6611SC | Other | WA | REGENCE BS PRIMARY CARE |
| 911503827 | Other | WA | UNITED HEALTHCARE |
| 911503827 | Other | WA | FIRST CHOICE HEALTH PLANS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD000015726 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma Hyperbaric Billing, LLC | Internal Medicine | Past | Accepting new patients |
| Peninsula Internal Medicine Associates PS | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- pschneider23830@skagit.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Gig Harbor, WA
- NPI 1205803723
Internal Medicine
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1831166354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1821086208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10510 GRAVELLY LAKE DR SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984995036",
"telephone_number": "253-597-7030",
"fax_number": "253-597-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10510 GRAVELLY LAKE DR SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984995036",
"telephone_number": "253-589-7030",
"fax_number": "253-589-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD000015726",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "MD000015726",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0065674",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS SPECIALIST",
"identifier": "4423SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "538388831",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAC-IME",
"identifier": "0190391",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KITSAP HEALTH PLANS",
"identifier": "911503824",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH WASHINGTON",
"identifier": "215253001",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1062991",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "911503824",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE WASHINGTON",
"identifier": "911503824",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETHA INSURANCES",
"identifier": "4668902",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH CARE",
"identifier": "911503824",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "911503827",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES IME",
"identifier": "0180985",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS PRIMARY CARE",
"identifier": "6611SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "911503827",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CHOICE HEALTH PLANS",
"identifier": "911503827",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.