Provider Demographics
NPI:1144204744
Name:SCHAUER, JOCELYN KEI (MD)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:KEI
Last Name:SCHAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 RIO EAST CT
Mailing Address - Street 2:STE. A
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8040
Mailing Address - Country:US
Mailing Address - Phone:434-975-7777
Mailing Address - Fax:434-975-7774
Practice Address - Street 1:900 RIO EAST CT
Practice Address - Street 2:STE. A
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8040
Practice Address - Country:US
Practice Address - Phone:434-975-7777
Practice Address - Fax:434-975-7774
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050542208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF76372Medicare UPIN