Provider Demographics
NPI:1558332726
Name:SCHLEGEL, ROBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:SCHLEGEL
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 1:205 S FRONT ST FL 6
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1619
Mailing Address - Country:US
Mailing Address - Phone:717-988-9370
Mailing Address - Fax:
Practice Address - Street 1:205 S FRONT ST FL 6
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-1619
Practice Address - Country:US
Practice Address - Phone:717-988-9370
Practice Address - Fax:717-703-0154
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041401E207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20054027OtherAMERIHEALTH MERCY-WMG
PA36840OtherGEISINGER
MD465004200Medicaid
PA50060990OtherCAPITAL BLUE CROSS-WMG
PA186768OtherUNISON-WMG
PA7534079OtherGATEWAY-WMG
PA435079OtherHIGHMARK BLUE SHIELD
PA0114932000OtherAMERIHEALTH 65 PA
PA3114627OtherMAMSI-WMG
PA128883OtherJOHNS HOPKINS
PA4369107OtherAETNA
MD889475OtherCAREFIRST MD BCBS
PA997851OtherUPMC-WMG
PA534079FLTMedicare PIN
PA36840OtherGEISINGER
PA50060990OtherCAPITAL BLUE CROSS-WMG