Provider Demographics
NPI:1033401294
Name:SCHAAF, JONATHAN T (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:T
Last Name:SCHAAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:14610 DRAVO PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-1564
Mailing Address - Country:US
Mailing Address - Phone:804-426-9724
Mailing Address - Fax:
Practice Address - Street 1:1630 WILKES RIDGE PKWY STE 302
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-7460
Practice Address - Country:US
Practice Address - Phone:804-560-3295
Practice Address - Fax:888-526-2112
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101253315208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist