Provider Demographics
NPI:1124019963
Name:SCHENARTS, PAUL J (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:SCHENARTS
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 1:983280 NEBRASKA MEDICAL CENTER
Mailing Address - Street 2:DEPT OF SURGERY
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-3280
Mailing Address - Country:US
Mailing Address - Phone:402-559-4300
Mailing Address - Fax:402-559-6749
Practice Address - Street 1:983280 NEBRASKA MEDICAL CENTER
Practice Address - Street 2:DEPT OF SURGERY
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3280
Practice Address - Country:US
Practice Address - Phone:402-559-4300
Practice Address - Fax:402-559-6749
Is Sole Proprietor?:No
Enumeration Date:2005-11-01
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001007752086S0127X
NE266402086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC129FNOtherBCBS NC
NC89129FNMedicaid
NC020050019OtherRAILROAD MEDICARE
NC129FNOtherBCBS NC
NC020050019OtherRAILROAD MEDICARE