Provider Demographics
NPI:1659625598
Name:SCHINDLER MEDICAL LLC
Entity Type:Organization
Organization Name:SCHINDLER MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SCHINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-608-0580
Mailing Address - Street 1:3665 MIKE DR
Mailing Address - Street 2:B
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-1249
Mailing Address - Country:US
Mailing Address - Phone:423-608-0580
Mailing Address - Fax:865-674-6401
Practice Address - Street 1:1721 MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITE PINE
Practice Address - State:TN
Practice Address - Zip Code:37890-3303
Practice Address - Country:US
Practice Address - Phone:865-674-6400
Practice Address - Fax:865-674-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35330207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAO8917Medicare UPIN