1033250055 NPI number — DR. HOWARD L. SCHULTHEISS, JR, DPM, P.A

Table of content: (NPI 1033250055)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033250055 NPI number — DR. HOWARD L. SCHULTHEISS, JR, DPM, P.A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. HOWARD L. SCHULTHEISS, JR, DPM, P.A
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1033250055
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
437 S MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEL AIR
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21014-3919
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-836-0131
Provider Business Mailing Address Fax Number:
410-836-8594

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
437 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEL AIR
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21014-3919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-836-0131
Provider Business Practice Location Address Fax Number:
410-836-8594
Provider Enumeration Date:
02/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SCHULTHEISS
Authorized Official First Name:
VICKIE
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
410-836-0131

Provider Taxonomy Codes

  • Taxonomy code: 261QP1100X , with the licence number:  A1308 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: NB7 . This is a "BCBD DC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 430341 . This is a "COVENTRY" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 6800184 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: P00345657 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1852436003 . This is a "CIGNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 3455399 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 5814 . This is a "ELDER HEALTH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 58355701 . This is a "BCBS MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: R7090001 . This is a "NATIONAL/CAPITAL BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 612357400 . This is a "OWCP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1902138993 . This is a "MEDICARE PECOS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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