Provider Demographics
NPI:1972568186
Name:SCHADT, MARK EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:EDWARD
Last Name:SCHADT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5325 NORTHGATE DR
Mailing Address - Street 2:STE. 204
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9411
Mailing Address - Country:US
Mailing Address - Phone:610-865-5535
Mailing Address - Fax:610-625-4300
Practice Address - Street 1:5325 NORTHGATE DR
Practice Address - Street 2:STE. 204
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9411
Practice Address - Country:US
Practice Address - Phone:610-865-5535
Practice Address - Fax:610-625-4300
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA037196E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2456576OtherAETNA
PAE93735OtherEPHN
PA5026943002OtherCIGNA
PA00593735OtherPA BLUE SHIELD
PA01225401OtherCAPITAL BLUE CROSS
PA0012164450002Medicaid
PA0416014000OtherINDEPENDENCE BLUE SHIELD
PA233065999003OtherUNITED HEALTHCARE
PA0012164450002Medicaid
PA01225401OtherCAPITAL BLUE CROSS