Provider Demographics
NPI:1003827049
Name:SCHADLER, PAUL WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:WILLIAM
Last Name:SCHADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4062 S NEWPORT WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2032
Mailing Address - Country:US
Mailing Address - Phone:303-995-6477
Mailing Address - Fax:
Practice Address - Street 1:1202 5TH ST
Practice Address - Street 2:PLAZA BUILDING, SUITE 150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2006
Practice Address - Country:US
Practice Address - Phone:303-556-2525
Practice Address - Fax:303-556-3881
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34894207P00000X, 2083C0008X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical Informatics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37500562Medicaid
E33491Medicare UPIN
CO37500562Medicaid