MR. MARK J SCHNEIDER (NPI# 1902171085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902171085 |
Entity Type | Individual |
Full Name | MR. MARK J SCHNEIDER |
Practice Address |
1468 Montreal Rd Tucker GA 30084-6901 |
Mailing Address |
512 Colfelt Ct Exton PA 19341-2360 |
Practice Telephone | 7706381400 |
Mailing Telephone | 4846209987 |
Enumeration Date | 2012-03-21 |
Last Update Date | 2020-02-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | PA | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | CAQH | 1902171085 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376981845 | Mark James Schneider | Nurse Practitioner | 1035 Placer St., Redding, CA 96001-4242 | 2013-06-06 |
1093013054 | Mark A. Schneider | Pharmacist | 9055 Shoal Creek Dr, Tallahassee, FL 32312-4072 | 2011-03-01 |
1487711701 | Mark David Schneider | Family Medicine | 11411 Brookshire Avenue, Suite 207, Downey, CA 90241 | 2007-01-03 |
1114015625 | Mark E Schneider | Dentist | 9360 E Central Ave Ste 101, Wichita, KS 67206-2560 | 2006-10-10 |
1659304525 | Mark Alan Schneider | Chiropractor | 1178 Fremont Ct, Elkhart, IN 46516-9321 | 2006-07-07 |
1497741615 | Mark Anthony Schneider | Emergency Medicine | 200 Corporate Blvd, Lafayette, LA 70508-3870 | 2005-09-22 |
1710988837 | Mark Edward Schneider | Psychologist | 242 Main Street, Otsego County Mental Health Department, Oneonta, NY 13820 | 2005-08-10 |
1760485676 | Mark W Schneider | Emergency Medicine | 507 Sw Big Bend Trl, Ste J, Glen Rose, TX 76043-4449 | 2005-05-24 |
1154827459 | Mark Schneider | Pharmacist | 5824 Nolensville Pike, Nashville, TN 37211-6489 | 2018-04-04 |
1417211095 | Mark Schneider | Pharmacist | 217 W Ironwood Dr, Coeur D Alene, ID 83814-2651 | 2012-06-28 |
Street Address |
1468 MONTREAL RD |
City | TUCKER |
State | GA |
Zip Code | 30084-6901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396767695 | Bakhtiar Ali | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2006-07-24 |
1801415609 | Patrice T. Jones | Nurse Practitioner | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2020-04-11 |
1497387633 | Margaret Bronaugh Sporn | Nurse Practitioner | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2020-02-05 |
1497146351 | Jiyoun Leah Park | Physician Assistant | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2015-02-13 |
1093127755 | Harriett Laschell Allen | Nurse Practitioner | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2014-05-28 |
1497984660 | Mussie Gebremedihn | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2009-07-09 |
1821252081 | Ghazanfar Husein Qureshi | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2008-07-16 |
1033373238 | Jawahar Reddy Gazzala | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084 | 2008-07-16 |
1437331196 | Binu James Kunjummen | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2007-12-04 |
1962590893 | Zoubin Alikhani | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2006-10-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063019917 | Shayla Robinson | Student in an Organized Health Care Education/Training Program | 1887 Hudson Xing Apt 9, Tucker, GA 30084-5661 | 2020-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508540 | Robert Owen Calvert IIi | Student in an Organized Health Care Education/Training Program | 10734 Bossier Dr, Johns Creek, GA 30022-7977 | 2020-11-02 |
1194323469 | Kathlynn Barber | Student in an Organized Health Care Education/Training Program | 248 Sunset Ridge Dr, Newnan, GA 30263-7704 | 2020-10-09 |
1639786460 | Clarissa Chamorro | Student in an Organized Health Care Education/Training Program | 840 Old Alabama Rd Sw, Mableton, GA 30126-4108 | 2020-09-25 |
1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
1487269338 | Nhu Ai Thi Vo | Student in an Organized Health Care Education/Training Program | 5295 Locomotive Ln, Norcross, GA 30071-2751 | 2020-09-08 |
1669087516 | Nurin Ghazzawi | Student in an Organized Health Care Education/Training Program | 1953 Valley Ridge Ln, Duluth, GA 30096-6024 | 2020-09-08 |
1871107029 | Ashlie Simmons | Student in an Organized Health Care Education/Training Program | 40 Hardwood Forest Cir, Brunswick, GA 31525-4738 | 2020-09-04 |
1427660166 | Kassie Howard | Student in an Organized Health Care Education/Training Program | 2601 Northlake Dr # 1722, Suwanee, GA 30024-2942 | 2020-08-22 |
1063024404 | Paul Hwangbo | Student in an Organized Health Care Education/Training Program | 310 Aolian Ct, Alpharetta, GA 30022-7345 | 2020-08-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.