Provider Demographics
NPI:1164428553
Name:SCHOUCHOFF, ADRIENNE LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:LEE
Last Name:SCHOUCHOFF
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 1:3824 NORTHERN PIKE STE 700
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2184
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:
Practice Address - Street 1:3824 NORTHERN PIKE STE 525
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2177
Practice Address - Country:US
Practice Address - Phone:412-380-2750
Practice Address - Fax:412-382-2883
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056561L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01757258Medicaid
OH2418084Medicaid
OH2418084Medicaid
PA01757258Medicaid