Provider Demographics
NPI:1457487514
Name:SCHNEIDER, MARTA ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:ANNE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 MACARTHUR BLVD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2523
Mailing Address - Country:US
Mailing Address - Phone:202-362-3905
Mailing Address - Fax:202-362-3906
Practice Address - Street 1:5401 MACARTHUR BLVD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2523
Practice Address - Country:US
Practice Address - Phone:202-362-3905
Practice Address - Fax:202-362-3906
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD12224207R00000X
MDD26331207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
408926Medicare ID - Type Unspecified
C62555Medicare UPIN