Provider Demographics
NPI:1184683070
Name:GABRIELLE SCHOEPPNER MD AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:GABRIELLE SCHOEPPNER MD AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOEPPNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-258-7255
Mailing Address - Street 1:3735 NAZARETH RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8364
Mailing Address - Country:US
Mailing Address - Phone:610-258-7255
Mailing Address - Fax:610-258-5197
Practice Address - Street 1:3735 NAZARETH RD
Practice Address - Street 2:SUITE 205
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8364
Practice Address - Country:US
Practice Address - Phone:610-258-7255
Practice Address - Fax:610-258-5197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03120400OtherCAPITAL BLUE CROSS
PA1328945OtherHIGHMARK BLUE SHIELD
PA761841OtherHIGHMARK BLUE SHIELD
PA818938Medicare ID - Type Unspecified
PA1067980001Medicare NSC