Provider Demographics
NPI:1164688909
Name:SCHANTZ, STEPHEN ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ALEXANDER
Last Name:SCHANTZ
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 1:3288 EAGLE VIEW LN STE 300
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-9019
Mailing Address - Country:US
Mailing Address - Phone:859-254-5665
Mailing Address - Fax:859-281-6825
Practice Address - Street 1:3288 EAGLE VIEW LN STE 300
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-9019
Practice Address - Country:US
Practice Address - Phone:859-254-5665
Practice Address - Fax:859-281-6825
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32235208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery