Provider Demographics
NPI:1679576284
Name:SCHULTZ, PATRICIA MILLER (DPM)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MILLER
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8920 COLESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4149
Mailing Address - Country:US
Mailing Address - Phone:301-589-1066
Mailing Address - Fax:301-589-1810
Practice Address - Street 1:8920 COLESVILLE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4149
Practice Address - Country:US
Practice Address - Phone:301-589-1066
Practice Address - Fax:301-589-1810
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00567213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD480012254OtherMEDICARE RAILROAD
DC031050700Medicaid
MD790358800Medicaid
036603Medicare PIN
DC031050700Medicaid