Provider Demographics
NPI:1053301028
Name:SCHNEIDER, SARAH C (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:R
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:75 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-681-9901
Practice Address - Street 1:75 WASHINGTON ST
Practice Address - Street 2:SOUTH SHORE MEDICAL CENTER
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-9147
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:781-681-9901
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA217226208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042297845OtherPRIVATE HEALTHCARE SYSTEM
MA7730438OtherCIGNA
MA042297845OtherDOC FIRST
MA217226OtherTUFTS
MA59769OtherFALLON
MA042297845OtherTRICARE
MA042297845OtherGREAT WEST HEALTH CARE
MAJ26449OtherBCBS
MA042297845OtherUNITED HEALTH CARE
MA206560OtherHVD PILGRIM HEALTH CARE
MA042297845OtherHCVM
MA042297845OtherGIC UNICARE
MA2024331Medicaid
MA7505603OtherAETNA
MA030355OtherNEIGHBORHOOD HLTH PLAN
MAJ26449OtherBCBS
MA2024331Medicaid