Provider Demographics
NPI:1720191620
Name:SCHWARTING, J STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:J
Middle Name:STEVEN
Last Name:SCHWARTING
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 1:1405 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:KS
Mailing Address - Zip Code:67410-1546
Mailing Address - Country:US
Mailing Address - Phone:785-263-7190
Mailing Address - Fax:785-263-7390
Practice Address - Street 1:1405 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:KS
Practice Address - Zip Code:67410-1546
Practice Address - Country:US
Practice Address - Phone:785-263-7190
Practice Address - Fax:785-263-7390
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-15504207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS01793 SCMedicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
KSB91060Medicare UPIN