Provider Demographics
NPI:1467455667
Name:SCHENDEL, PAUL BURNETT (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:BURNETT
Last Name:SCHENDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1920 QUEENSWOOD DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4269
Mailing Address - Country:US
Mailing Address - Phone:717-747-3566
Mailing Address - Fax:717-747-3678
Practice Address - Street 1:1920 QUEENSWOOD DR
Practice Address - Street 2:SUITE 200
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4269
Practice Address - Country:US
Practice Address - Phone:717-747-3566
Practice Address - Fax:717-747-3678
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042063L207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1292723Medicaid
PA674767PCEMedicare PIN
PAB60010Medicare UPIN