Provider Demographics
NPI:1477689321
Name:SCHEINMAN, RICHARD PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PAUL
Last Name:SCHEINMAN
Suffix:
Gender:M
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:PO BOX 49
Mailing Address - Street 2:
Mailing Address - City:PETROLIA
Mailing Address - State:CA
Mailing Address - Zip Code:95558-0049
Mailing Address - Country:US
Mailing Address - Phone:707-629-3365
Mailing Address - Fax:
Practice Address - Street 1:203 OLD COAST WAGON ROAD
Practice Address - Street 2:
Practice Address - City:PETROLIA
Practice Address - State:CA
Practice Address - Zip Code:95558-0049
Practice Address - Country:US
Practice Address - Phone:707-629-3365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23001207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G230010Medicare UPIN