Active NPI
Larry G Schachter, MD
- Surgery Physician
- Du Bois, PA
National Provider Identifier
1962433656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD-040451-E
- Practice address
- 145 Hospital Ave
Suite 112
Du Bois, PA 15801-1462 - Phone
- (814) 371-4361
- Fax
- (814) 371-4360
- NPI assigned
- Jul 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD-040451-E | PA | Primary |
Addresses
Primary practice location
145 Hospital Ave
Suite 112
Du Bois, PA 15801-1462
Mailing address
PO Box 447
Du Bois, PA 15801-0447
Phone (814) 371-4361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001114507 | Medicaid | PA |
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 |
|---|---|---|---|
| MD-040451-E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1962433656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 447",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158010447",
"telephone_number": "814-371-4361",
"fax_number": "814-371-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE",
"address_2": "SUITE 112",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011462",
"telephone_number": "814-371-4361",
"fax_number": "814-371-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHACHTER",
"first_name": "LARRY",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD-040451-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001114507",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.