Provider Demographics
NPI:1043387624
Name:SCHNAPP, MOACIR (MD)
Entity Type:Individual
Prefix:
First Name:MOACIR
Middle Name:
Last Name:SCHNAPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:PAIN CLINIC ASSOCIATES PC
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-0205
Mailing Address - Country:US
Mailing Address - Phone:901-979-8003
Mailing Address - Fax:901-979-8406
Practice Address - Street 1:55 HUMPHREYS CENTER DRIVE SUITE 200
Practice Address - Street 2:PAIN CLINIC ASSOCIATES PC
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2366
Practice Address - Country:US
Practice Address - Phone:901-747-0040
Practice Address - Fax:901-842-6910
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD00000128782081P2900X, 2084N0400X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4057013OtherAETNA
0542019OtherUNITED HEALTHCARE
130004441OtherRAILROAD MEDICARE
TN3184412Medicaid
2625763OtherCIGNA
TN0055919OtherBLUE CROSS TN
TN0055919OtherBLUE CROSS TN