Provider Demographics
NPI:1215037726
Name:SCHEINBERG, MARTY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTY
Middle Name:
Last Name:SCHEINBERG
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 1:1300 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-2005
Mailing Address - Country:US
Mailing Address - Phone:423-756-7860
Mailing Address - Fax:
Practice Address - Street 1:1300 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-2005
Practice Address - Country:US
Practice Address - Phone:423-756-7860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10298208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3189415Medicare ID - Type Unspecified
TNB04378Medicare UPIN