Provider Demographics
NPI:1376617597
Name:SCHALL, JAMES EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:SCHALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 WARM SPRINGS AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-2300
Mailing Address - Country:US
Mailing Address - Phone:814-643-4876
Mailing Address - Fax:814-643-6595
Practice Address - Street 1:1227 WARM SPRINGS AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-2300
Practice Address - Country:US
Practice Address - Phone:814-643-4876
Practice Address - Fax:814-643-6595
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019579E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010117890004Medicaid
PA087040OtherBLUE SHIELD
PAC29421Medicare UPIN
PA087040Medicare ID - Type Unspecified