Provider Demographics
NPI:1558577676
Name:SCHUMAN MCCOY, JEANNINE MICHELLE (MD)
Entity Type:Individual
Prefix:
First Name:JEANNINE
Middle Name:MICHELLE
Last Name:SCHUMAN MCCOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JEANNINE
Other - Middle Name:MICHELLE
Other - Last Name:SCHUMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10608 SCOTLAND WELL DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-3482
Mailing Address - Country:US
Mailing Address - Phone:216-233-2986
Mailing Address - Fax:
Practice Address - Street 1:1110 E 32ND ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-2211
Practice Address - Country:US
Practice Address - Phone:512-320-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP75632080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology