Provider Demographics
NPI:1245496223
Name:SCHNEIDER, GREGORY WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:WILLIAM
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:5380 S RAINBOW BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1878
Mailing Address - Country:US
Mailing Address - Phone:702-463-4040
Mailing Address - Fax:702-968-5681
Practice Address - Street 1:5380 S RAINBOW BLVD STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1878
Practice Address - Country:US
Practice Address - Phone:702-463-4040
Practice Address - Fax:702-968-5681
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2006-0167207Q00000X
FLME126981207Q00000X
NV23350207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV23350OtherNEVADA MEDICAL LICENSE
NMMD2006-0167OtherNM LICENSE
FLME126981OtherFLORIDA MEDICAL LICENSE