1508976358 NPI number — DR. DON ELLIOT SCHWARTZ MD

Table of content: DR. DON ELLIOT SCHWARTZ MD (NPI 1508976358)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508976358 NPI number — DR. DON ELLIOT SCHWARTZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWARTZ
Provider First Name:
DON
Provider Middle Name:
ELLIOT
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:
1508976358
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
801 CLINTWOOD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20902-1700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-593-1818
Provider Business Mailing Address Fax Number:
301-593-7757

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3 WASHINGTON CIRCLE NW
Provider Second Line Business Practice Location Address:
STE 209
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20037-2326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-466-7711
Provider Business Practice Location Address Fax Number:
202-393-5951
Provider Enumeration Date:
08/30/2006

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: 207W00000X , with the licence number:  MD6448 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207W00000X , with the licence number: D0016025 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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