1902804370 NPI number — LUZ PEREZ-SCHWARTZ M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902804370 NPI number — LUZ PEREZ-SCHWARTZ M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

PEREZ-SCHWARTZ

Provider First Name:

LUZ

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

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:

1902804370

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/21/2010

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

SHRINERS HOSPITAL FOR CHILDREN PHILADELPHIA

Provider Second Line Business Mailing Address:

LOCKBOX #7642

Provider Business Mailing Address City Name:

PHILADELPHIA

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

19178-0001

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

813-281-8478

Provider Business Mailing Address Fax Number:

813-281-8113

Provider First Line Business Practice Location Address:

3551 N BROAD ST

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

PHILADELPHIA

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

19140-4160

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

215-430-4022

Provider Business Practice Location Address Fax Number:

215-430-4079

Provider Enumeration Date:

07/11/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207L00000X , with the licence number:  MD048347L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 0066985000 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: P2481787 . This is a "OXFORD HEALTH PLANS" identifier . This identifiers is of the category "OTHER".
• Identifier: 0014302580007 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 050079235 . This is a "MEDICARE RAILROAD" identifier . This identifiers is of the category "OTHER".
• Identifier: 113608 . This is a "HIGHMARK BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
• Identifier: 2170559 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
• Identifier: 5653435 . This is a "CIGNA HEALTHCARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 0066985000 . This is a "KEYSTONE HEALTH EAST" identifier . This identifiers is of the category "OTHER".
• Identifier: 2023768 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 81561 . This is a "GEISINGER HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 0066985000 . This is a "INDEPENDENCE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
• Identifier: 50015357 . This is a "KEYSTONE HEALTH CENTRAL" identifier . This identifiers is of the category "OTHER".
• Identifier: 50015357 . This is a "CAPITAL BLUE CROSS" identifier . This identifiers is of the category "OTHER".