1144289026 NPI number — DR. STEPHEN MICHAEL SCHATZ MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144289026 NPI number — DR. STEPHEN MICHAEL SCHATZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHATZ
Provider First Name:
STEPHEN
Provider Middle Name:
MICHAEL
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:
1144289026
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3421 CONCORD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17402-9001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-741-8011
Provider Business Mailing Address Fax Number:
717-255-0966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 MONUMENT RD STE 206
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-5074
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-741-8011
Provider Business Practice Location Address Fax Number:
717-255-0966
Provider Enumeration Date:
03/21/2006

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: 208800000X , with the licence number:  R3952 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208800000X , with the licence number: D69612 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208800000X , with the licence number: MD475105 , 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: 00027260701 . This is a "UNIVERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1099084 . This is a "GHI PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 418153100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00027260701 . This is a "UNIVERA SENIOR CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02670886 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00518171001 . This is a "CB COMMUNITY CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00027260701 . This is a "UNIVERA CHOICE CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1912937 . This is a "INDEPENDENT HEALTH IHA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 377618902 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1912937 . This is a "IHA ENCOMPASS 65" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000093102 . This is a "GHI HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00518171001 . This is a "COMMUNITY BLUE ADVANTAGE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00528171001 . This is a "COMMUNITY BLUE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00528171001 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 377618901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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