1518964543 NPI number — DR. BARRY SCHNALL MD

Table of content: DR. BARRY SCHNALL MD (NPI 1518964543)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518964543 NPI number — DR. BARRY SCHNALL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHNALL
Provider First Name:
BARRY
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518964543
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/28/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1350 WARNER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JENKINTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19046-2536
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-572-9390
Provider Business Mailing Address Fax Number:
215-572-9390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1648 HUNTINGDON PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEADOWBROOK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-9813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-572-9390
Provider Business Practice Location Address Fax Number:
215-575-9390
Provider Enumeration Date:
07/05/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  MD016847E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0060099000 . This is a "KEYSTONE EAST HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 919253 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 454253 . This is a "BS,NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: SC160117 . This is a "BLUE CROSS, PC, B CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P816860 . This is a "OXFORD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 4257416 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 6827370 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".