Provider Demographics
NPI:1205816998
Name:SCHOPICK, STEVEN R (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:SCHOPICK
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:MERCY NEUROSURGERY CLINIC
Mailing Address - Street 2:701 10TH STREET SE
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403
Mailing Address - Country:US
Mailing Address - Phone:319-221-8966
Mailing Address - Fax:319-221-8967
Practice Address - Street 1:MERCY NEUROSURGERY CLINIC
Practice Address - Street 2:701 10TH STREET SE
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403
Practice Address - Country:US
Practice Address - Phone:319-221-8966
Practice Address - Fax:319-221-8967
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237356207T00000X
IAMD-49280207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00657225OtherMEDICARE RR
VA1205816998Medicaid
WV3810001829Medicaid
VA358706OtherANTHEM BCBS
VAP00657225OtherMEDICARE RR
WV3810001829Medicaid