Provider Demographics
NPI:1851319180
Name:SCHENKEIN, JEREMY G (MD)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:G
Last Name:SCHENKEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1000 BOULDERS PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5545
Mailing Address - Country:US
Mailing Address - Phone:804-320-4243
Mailing Address - Fax:804-282-1486
Practice Address - Street 1:7486 RIGHT FLANK RD STE 100
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3834
Practice Address - Country:US
Practice Address - Phone:804-320-4243
Practice Address - Fax:804-622-0552
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242768207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1851319180OtherUNITED HEALTHCARE
VA1851319180Medicaid
VACB4579OtherMEDICARE RAILROAD
VA866817OtherSOUTHERN HEALTH
VA9198990OtherCIGNA
AL009948945Medicaid
AL051521277OtherBLUE CROSS
VA7502585OtherAETNA NON-HMO
VA346743OtherANTHEM BLUE CROSS BLUE SHIELD
VA1755363OtherAETNA HMO
VA2179788OtherMAMSI
VA84680OtherCARENET
VA9198990OtherCIGNA