Provider Demographics
NPI:1407849102
Name:SCHIED, STANLEY EDWARD (PA-C)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:EDWARD
Last Name:SCHIED
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:CALLAWAY
Mailing Address - State:NE
Mailing Address - Zip Code:68825-0132
Mailing Address - Country:US
Mailing Address - Phone:308-836-2294
Mailing Address - Fax:
Practice Address - Street 1:211 KIMBALL AV
Practice Address - Street 2:
Practice Address - City:CALLAWAY
Practice Address - State:NE
Practice Address - Zip Code:66825
Practice Address - Country:US
Practice Address - Phone:308-836-2228
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEQ17623Medicare UPIN
NE277741Medicare ID - Type Unspecified