Provider Demographics
NPI:1386673580
Name:SCHOTTHOEFER, ERIN O'MALLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:O'MALLEY
Last Name:SCHOTTHOEFER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:704-892-3181
Practice Address - Street 1:10305 HAMPTONS PARK DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7217
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-892-3181
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2006-00429207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC01152094OtherAMERIGROUP OF SC
SCN86007Medicaid
NC198272OtherMEDCOST
SC000000293956OtherUNISON HEALTH PLAN SC
2136319OtherBEECHSTREET
NC2687OtherEVOLUTIONS
NC7497796OtherAETNA
NC810245OtherPARTNERS
NCBCBSOther142T9
SC20096083OtherSELECT HEALTH OF SC
SC80800OtherCHC CARES OF SC
NC626480OtherUNITED HEALTHCARE
NCP00937984OtherRAILROAD MEDICARE
SC20096083OtherSELECT HEALTH OF SC