Provider Demographics
NPI:1609835818
Name:SCHNELL, GREGORY A (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:A
Last Name:SCHNELL
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 1:8205 NW HIGH POINT DR
Mailing Address - Street 2:
Mailing Address - City:WEATHERBY LAKE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-1649
Mailing Address - Country:US
Mailing Address - Phone:816-587-7620
Mailing Address - Fax:
Practice Address - Street 1:1300 NW BRIARCLIFF PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64150-7104
Practice Address - Country:US
Practice Address - Phone:816-527-0031
Practice Address - Fax:816-527-0096
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR2E81207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202282539Medicaid
MO202282539Medicaid