Individual provider Active NPI

Edward Schneider, P.A.

  • Medical Physician Assistant
  • Westminster, MD
National Provider Identifier
1992715106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0002808 Issued in MD
Practice address
686 Poole Rd # C
Westminster, MD 21157-6003
Phone
(410) 848-2444
Fax
(410) 857-1634
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0002808 MD Primary

Addresses

Primary practice location

686 Poole Rd # C
Westminster, MD 21157-6003

Mailing address

332 140 Village Rd
# 167
Westminster, MD 21157-6196
Phone (410) 876-9785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001408 MD Practitioner - Physician Assistant 4688651136 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002808MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Associates, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medstar Good Samaritan Physicians LLC Past Accepting new patients
Family Medical Associates,LLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992715106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 140 VILLAGE RD",
            "address_2": "# 167",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576196",
            "telephone_number": "410-876-9785",
            "fax_number": "410-386-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 POOLE RD # C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576003",
            "telephone_number": "410-848-2444",
            "fax_number": "410-857-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "EDWARD",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.