Provider Demographics
NPI:1730109174
Name:SCHELL, JAMES ALLEN II (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLEN
Last Name:SCHELL
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:335 TRILLIUM LN
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4909
Mailing Address - Country:US
Mailing Address - Phone:573-374-9508
Mailing Address - Fax:573-335-3466
Practice Address - Street 1:335 TRILLIUM LN
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4909
Practice Address - Country:US
Practice Address - Phone:573-837-4950
Practice Address - Fax:573-335-3466
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO36106207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A10124Medicare UPIN