Provider Demographics
NPI:1972561512
Name:SCHREINER, PHYLLIS SHARON
Entity Type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:SHARON
Last Name:SCHREINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3803
Mailing Address - Country:US
Mailing Address - Phone:301-468-8999
Mailing Address - Fax:
Practice Address - Street 1:6000 EXECUTIVE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3803
Practice Address - Country:US
Practice Address - Phone:301-468-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026520207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD026702OtherJHHC PROVIDER NUMBER
MD496838OtherNCCPO PROVIDER NUMBER
MD5020444OtherAETNA HMO PROVIDER NUMBER
MD8127026OtherMAMSI PROVIDER NUMBER
MD9070 0015OtherBSDC PROVIDER NUMBER
MDP15935OtherCAREFIRST POS
MD7882667OtherCIGNA PROVIDER NUMBER
MD521186611OtherUNITED HEALTHCARE PROV #
MD8127026OtherALLIANCE PROVIDER NUMBER
MD5020444OtherAETNA PPO PROVIDER NUMBER
MD53115803OtherBSMD PROVIDER NUMBER
MD8127026OtherMDIPA PROVIDER NUMBER
MD8127026OtherOPTIMUM CHOICE PROVIDER #
MD8127026OtherOPTIMUM CHOICE PROVIDER #
MD026702OtherJHHC PROVIDER NUMBER