Provider Demographics
NPI:1679682330
Name:SCHOLNICK, JOSHUA D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:D
Last Name:SCHOLNICK
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 1:10978 DONNER PASS RD
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-0433
Mailing Address - Country:US
Mailing Address - Phone:530-582-1212
Mailing Address - Fax:530-587-4278
Practice Address - Street 1:10978 DONNER PASS RD
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0433
Practice Address - Country:US
Practice Address - Phone:530-582-1212
Practice Address - Fax:530-587-4278
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043697207RC0000X
CAA115909207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2930SCOtherREGENCE
WA223375OtherLABOR & INDUSTRY
WA8425753Medicaid
WAP00442310OtherPALMETTO RR MEDICARE
WAI38268Medicare UPIN
WA8867457Medicare PIN
I38268Medicare UPIN