Provider Demographics
NPI:1639141179
Name:SCHNEIDER, SCOTT A (MD)
Entity Type:Individual
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First Name:SCOTT
Middle Name:A
Last Name:SCHNEIDER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 S MINNESOTA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3761
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:4400 W 69TH ST
Practice Address - Street 2:STE 500
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8170
Practice Address - Country:US
Practice Address - Phone:605-322-7580
Practice Address - Fax:605-322-7579
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2013-12-11
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Provider Licenses
StateLicense IDTaxonomies
SD36662084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND12242Medicaid
SD25266OtherSANFORD HEALTH PLAN
SD260040364OtherRR MEDICARE
SD57108D003OtherWPS TRICARE
SD769191017550OtherPREFERRED ONE
SD10378OtherMIDLANDS CHOICE
SD512428OtherARAZ/ AMERICA'S PPO
SD7100932Medicaid
MN92411422904OtherPRIMEWEST
SDHP24841OtherHEALTHPARTNERS
SD0002827OtherBLUE CROSS
MT0033303Medicaid
IA1908517Medicaid
MN296265900Medicaid
SD3666OtherDAKOTACARE
NE46022474340Medicaid
MN3T022SCOtherCC SYSTEMS/ BLUE PLUS
MN3T022SCOtherCC SYSTEMS/ BLUE PLUS
ND12242Medicaid