Provider Demographics
NPI:1013949312
Name:SCHNEIDER, CHAD E (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:E
Last Name:SCHNEIDER
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 1:202 SO PARK ST
Mailing Address - Street 2:MERITER HOSPITAL
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715
Mailing Address - Country:US
Mailing Address - Phone:608-417-5695
Mailing Address - Fax:608-417-5890
Practice Address - Street 1:202 SO PARK ST
Practice Address - Street 2:MERITER HOSPITAL
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715
Practice Address - Country:US
Practice Address - Phone:608-417-5695
Practice Address - Fax:608-417-5890
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI46474020207R00000X
WI46474-20207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00253867OtherRR MEDICARE
WI34693500Medicaid
WI004745380Medicare ID - Type Unspecified
WI003660015Medicare ID - Type Unspecified
WI34693500Medicaid