Provider Demographics
NPI:1851370357
Name:SCHNEIDER, SUSAN GRIFFITH (MD,MSPH)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:GRIFFITH
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD,MSPH
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:E
Other - Last Name:GRIFFITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:302 SILVER AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1510
Mailing Address - Country:US
Mailing Address - Phone:415-476-0605
Mailing Address - Fax:415-514-8192
Practice Address - Street 1:302 SILVER AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-1510
Practice Address - Country:US
Practice Address - Phone:415-476-0605
Practice Address - Fax:415-514-8192
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC191938207RG0300X
FLME96281207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021615500Medicaid
FLME96281OtherMEDICAL LICENSE
FLME96281OtherMEDICAL LICENSE