Provider Demographics
NPI:1437710076
Name:SCHADT, SAMUEL (DO)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:SCHADT
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1717 SHIPYARD BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-8019
Mailing Address - Country:US
Mailing Address - Phone:910-796-8600
Mailing Address - Fax:910-796-8644
Practice Address - Street 1:1717 SHIPYARD BLVD STE 140
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-8019
Practice Address - Country:US
Practice Address - Phone:910-796-8600
Practice Address - Fax:910-796-8644
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2023-00665207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology