Provider Demographics
NPI:1306229075
Name:SCHUNIOR, FERONIE (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:FERONIE
Middle Name:
Last Name:SCHUNIOR
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:JEROME
Other - Last Name:SCHUNIOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:54282
Mailing Address - Street 1:1150 ROBERT BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2005
Mailing Address - Country:US
Mailing Address - Phone:985-641-0078
Mailing Address - Fax:
Practice Address - Street 1:1150 ROBERT STE 230
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458
Practice Address - Country:US
Practice Address - Phone:985-641-0078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9677275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1871517250Medicare NSC