Douglas J Schwartzentruber, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

01031937A Issued in IN

Practice address

535 Barnhill Dr
RT 252
Indianapolis, IN 46202-5116

Phone

(317) 944-0301

Fax

(317) 278-6523

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1962482406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "STE 130 PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-963-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BARNHILL DR",
            "address_2": "RT 252",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025116",
            "telephone_number": "317-944-0301",
            "fax_number": "317-278-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZENTRUBER",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01031937",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IN",
            "license": "01031937A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200456350",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000720155",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Schwartz, NP
• Kerrigan Schwartz, PT, DPT
• Laquita Schwartz, SLP
• Peter H Schwartz, MD
• Richard Louis Schwartz, MD
• Ashley Lynn Schwartzkopf, LCSW
• Katherine Nicole Schwartzkopf, PSYD
• Sheryl L. Schwartzkopf, RN
• Jessica Schwarz
• Greta Schwarzkopf, MA CCC-SLP

• Surgical Oncology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Surgical Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.