Provider Demographics
NPI:1144289026
Name:SCHATZ, STEPHEN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:SCHATZ
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-741-8011
Mailing Address - Fax:717-255-0966
Practice Address - Street 1:35 MONUMENT RD STE 206
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5074
Practice Address - Country:US
Practice Address - Phone:717-741-8011
Practice Address - Fax:717-255-0966
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3952208800000X
MDD69612208800000X, 208800000X
PAMD475105208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00027260701OtherUNIVERA
1099084OtherGHI PPO
MD418153100Medicaid
00027260701OtherUNIVERA SENIOR CHOICE
NY02670886Medicaid
00518171001OtherCB COMMUNITY CARE
00027260701OtherUNIVERA CHOICE CARE
1912937OtherINDEPENDENT HEALTH IHA
TX377618902Medicaid
1912937OtherIHA ENCOMPASS 65
000000093102OtherGHI HMO
00518171001OtherCOMMUNITY BLUE ADVANTAGE
00528171001OtherCOMMUNITY BLUE
NY00528171001OtherBLUE CROSS BLUE SHIELD
TX377618901Medicaid
TX377618901Medicaid
H31109Medicare UPIN