Provider Demographics
NPI:1194186015
Name:SCHUETY, CHAD JEROME (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:JEROME
Last Name:SCHUETY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1650 COCHRANE CIR
Mailing Address - Street 2:INTERNAL MEDICINE
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913
Mailing Address - Country:US
Mailing Address - Phone:719-526-7000
Mailing Address - Fax:877-813-1756
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:SAMMC MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY
Practice Address - City:JBSA FT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-3910
Practice Address - Fax:210-916-2077
Is Sole Proprietor?:No
Enumeration Date:2016-03-19
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101263964207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program