Provider Demographics
NPI:1336325539
Name:TED L SCHWARTING MD INC
Entity Type:Organization
Organization Name:TED L SCHWARTING MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHWARTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-364-2663
Mailing Address - Street 1:3220 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801
Mailing Address - Country:US
Mailing Address - Phone:907-364-2663
Mailing Address - Fax:907-364-2662
Practice Address - Street 1:3220 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801
Practice Address - Country:US
Practice Address - Phone:907-364-2663
Practice Address - Fax:907-364-2662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK5104207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD6070Medicaid
AK0175430OtherLABOR & INDUSTRIES PIN
AKK152853Medicare PIN
AKMD6070Medicaid