Provider Demographics
NPI:1598787806
Name:SCHATTSCHNEIDER, GARY (DPM)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:
Last Name:SCHATTSCHNEIDER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208B EAST CONCORD STREET
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3504
Mailing Address - Country:US
Mailing Address - Phone:828-433-5550
Mailing Address - Fax:828-433-5256
Practice Address - Street 1:208B EAST CONCORD STREET
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3504
Practice Address - Country:US
Practice Address - Phone:828-433-5550
Practice Address - Fax:828-433-5256
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC172213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7908166Medicaid
480002739OtherRAILROAD MEDICARE
480002739OtherRAILROAD MEDICARE
NC243089Medicare PIN