Provider Demographics
NPI:1659646990
Name:SCHNEIDER, ERICA ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ELIZABETH
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5960
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:120 KINGS WAY STE 2200
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-2507
Practice Address - Country:US
Practice Address - Phone:757-645-3460
Practice Address - Fax:757-645-3481
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0101265791207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program