Provider Demographics
NPI:1710944921
Name:SCHWARTZ, STEVEN R (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-3810
Mailing Address - Country:US
Mailing Address - Phone:717-267-2892
Mailing Address - Fax:717-267-3795
Practice Address - Street 1:810 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-3810
Practice Address - Country:US
Practice Address - Phone:717-267-2892
Practice Address - Fax:717-267-3795
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC1906L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
01454301OtherCAPITAL BC
PA128688OtherUNISON
PA0015596450003Medicaid
PA914345OtherBLUE SHIELD
01454301OtherCAPITAL BC
PA128688OtherUNISON
PA0015596450003Medicaid
PA048929Medicare PIN