Provider Demographics
NPI:1285629451
Name:SCHUNEMEYER, AMY B (DPM)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:B
Last Name:SCHUNEMEYER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 N LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-2843
Mailing Address - Country:US
Mailing Address - Phone:337-365-4195
Mailing Address - Fax:337-365-9557
Practice Address - Street 1:398 N LEWIS ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563-2843
Practice Address - Country:US
Practice Address - Phone:337-365-4195
Practice Address - Fax:337-365-9557
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPD285R213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1566217Medicaid
LA721493234OtherAETNA
LA721493234OtherTRICARE
LA480031731OtherMEDICARE RRB
LA$$$$$$$$$AOtherBLUE CROSS / BLUE SHIELF OF LOUISIANA
LA1566217Medicaid
LA$$$$$$$$$AOtherBENEFIT MANAGEMENT
LA480031731OtherMEDICARE RRB
LA1566217Medicaid