Provider Demographics
NPI:1659402782
Name:SCHNYDER, DREW DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:DAVID
Last Name:SCHNYDER
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 1:3164 US HIGHWAY 70
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-6302
Mailing Address - Country:US
Mailing Address - Phone:828-669-4505
Mailing Address - Fax:
Practice Address - Street 1:3164 US HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-6302
Practice Address - Country:US
Practice Address - Phone:828-669-4505
Practice Address - Fax:828-669-5112
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIH10902207Q00000X
NC2012-00350207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC173U3OtherBCBS-NC
HIH18980Medicare UPIN
NCNC9623D074Medicare PIN