Provider Demographics
NPI:1184625972
Name:SCHULMAN, SCOTT L (DPM)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:L
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 E 90TH ST
Mailing Address - Street 2:STE 112
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-7206
Mailing Address - Country:US
Mailing Address - Phone:317-841-7990
Mailing Address - Fax:317-841-8253
Practice Address - Street 1:7430 N SHADELAND AVE
Practice Address - Street 2:STE. 290
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2070
Practice Address - Country:US
Practice Address - Phone:317-841-7990
Practice Address - Fax:317-841-8253
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000701A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100173150AMedicaid
IN0430490001Medicare NSC
IN508770CMedicare PIN
IN100173150AMedicaid