Provider Demographics
NPI:1275536120
Name:SCHABERG, JAMES E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:SCHABERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12639 OLD TESSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2786
Mailing Address - Country:US
Mailing Address - Phone:314-849-0311
Mailing Address - Fax:314-849-4423
Practice Address - Street 1:9323 PHOENIX VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-4281
Practice Address - Country:US
Practice Address - Phone:636-561-5030
Practice Address - Fax:636-561-5033
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR5A61207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
3458V6032OtherGHP/ADVANTRA
4442V6097OtherHEALTHCARE USA
SP10134OtherCIGNA
119366OtherHEALTHLINK
45616OtherCMR
9044OtherEXCLUSIVE CHOICE
MO18655OtherBLUE CROSS BLUE SHIELD
4061265OtherAETNA
900097OtherUHC
SP10134OtherCIGNA
9044OtherEXCLUSIVE CHOICE
3458V6032OtherGHP/ADVANTRA
351240001OtherCIGNA DMERC