Phyllis Schorr, MD

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

G48806 Issued in CA

Practice address

2209 Coffee Rd Ste C
Modesto, CA 95355-2360

Phone

(209) 575-7585

NPI assigned

Oct 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1962045047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SADDLE DR",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 COFFEE RD STE C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552360",
            "telephone_number": "209-575-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Saddle Dr",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983689438",
            "country_code": "US",
            "telephone_number": "360-344-2858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHORR",
        "first_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CA",
            "license": "G48806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Schneider, PH.D.
• Yesenia Schneider
• Nichole Schoene
• Katherine Mary Scholten, LMSW
• Sue C Schoonover, PAC
• Schulin Invest LLC
• Ashley N Schulke
• Grace Schulz
• Paul J Schunke, M.D.
• Kylie Schwabenland

• Obesity Medicine (Family Medicine) Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Obesity Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.