Provider Demographics
NPI:1538131784
Name:SCHRANTZ, JAMES (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:SCHRANTZ
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 1:1000 D EAST MATTHEWS AVE
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4307
Mailing Address - Country:US
Mailing Address - Phone:870-972-8040
Mailing Address - Fax:870-972-8042
Practice Address - Street 1:1000D EAST MATTHEWS AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4307
Practice Address - Country:US
Practice Address - Phone:870-972-8040
Practice Address - Fax:870-972-8042
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC4314207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
54698Medicare ID - Type Unspecified
B90553Medicare UPIN