Provider Demographics
NPI:1013187335
Name:DOUGLAS R SCHREIBER M.D.
Entity Type:Organization
Organization Name:DOUGLAS R SCHREIBER M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-460-1144
Mailing Address - Street 1:1020 INDEPENDENCE BLVD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:VIGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1020 INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 306
Practice Address - City:VIGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5543
Practice Address - Country:US
Practice Address - Phone:757-460-1144
Practice Address - Fax:757-460-4967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0744120001Medicare NSC