Provider Demographics
NPI:1164451431
Name:SCHUMACHER, EDMUND WILLIAM (DPM)
Entity Type:Individual
Prefix:
First Name:EDMUND
Middle Name:WILLIAM
Last Name:SCHUMACHER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3273 CLAREMONT WAY
Mailing Address - Street 2:STE 211
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3329
Mailing Address - Country:US
Mailing Address - Phone:707-254-9012
Mailing Address - Fax:707-226-7769
Practice Address - Street 1:3273 CLAREMONT WAY
Practice Address - Street 2:STE 211
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3329
Practice Address - Country:US
Practice Address - Phone:707-254-9012
Practice Address - Fax:707-226-7769
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3507213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E35073OtherMEDICARE - NAPA OFFICE LOCATION
CA480006316OtherRAILROAD MEDICARE
CA000E35073OtherMEDICARE - NAPA OFFICE LOCATION
CA480006316OtherRAILROAD MEDICARE
CA000E35070Medicare ID - Type Unspecified
CA4305470002Medicare NSC