Provider Demographics
NPI:1255501664
Name:GARY SCHATTSCHNEIDER DPM
Entity Type:Organization
Organization Name:GARY SCHATTSCHNEIDER DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHATTSCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:828-433-5550
Mailing Address - Street 1:149-A WEST PARKER ROAD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4673
Mailing Address - Country:US
Mailing Address - Phone:828-433-5550
Mailing Address - Fax:828-433-5256
Practice Address - Street 1:149-A WEST PARKER ROAD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4673
Practice Address - Country:US
Practice Address - Phone:828-433-5550
Practice Address - Fax:828-433-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2009-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC172213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0614940001Medicare NSC