Provider Demographics
NPI:1831123223
Name:SCHWARTZKOPF, PAUL B (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:B
Last Name:SCHWARTZKOPF
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 1:629 ANNETTE DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-9588
Mailing Address - Country:US
Mailing Address - Phone:717-891-5054
Mailing Address - Fax:717-851-1310
Practice Address - Street 1:629 ANNETTE DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-9588
Practice Address - Country:US
Practice Address - Phone:717-891-5054
Practice Address - Fax:717-851-1310
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044245E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA604352OtherHIGHMARK BLUE SHIELD
PA001197902Medicaid
PA36939OtherGEISINGER
PA0426812000OtherAMERIHEALTH 65 PA
PA1134525OtherAMERIHEALTH MERCY-WMG
PA01069503OtherCAPITAL BLUE CROSS-WMG
PA233304OtherMAMSI-WMG
MD543233OtherCAREFIRST MD BCBS
PAP002841OtherGATEWAY-WMG
PA30037OtherJOHNS HOPKINS
PA5856047OtherAETNA
PA80994OtherUNISON-WMG
PA0426812000OtherAMERIHEALTH 65 PA
MD543233OtherCAREFIRST MD BCBS
PAP002841OtherGATEWAY-WMG