Provider Demographics
NPI:1366440406
Name:SCHWARTZ, EDWARD ANTHONY (DPM)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:ANTHONY
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002781L213E00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2170532OtherMAMSI
PA0015022770001Medicaid
01226701OtherKEYSTONE HEALTH CENTRAL
328813OtherHEALTHAMERICA/HEALTHASSUR
0051068000OtherINDEPENDENCE BLUE CROSS
099505OtherHIGHMARK BLUE SHIELD
10761OtherGEISINGER HEALTH PLAN
0051068000OtherKEYSTONE HEALTH EAST
0091332OtherAETNA PPO
01226701OtherCAPITAL BLUE CROSS
821136OtherFIRST PRIORITY HEALTH
0051068000OtherAMERIHEALTH
1061200OtherCIGNA HEALTHCARE
200018139OtherMEDICARE RAILROAD
P369814OtherOXFORD HEALTH PLANS
0207123OtherUNITED HEALTHCARE
099505Medicare PIN