Provider Demographics
NPI:1265417356
Name:ANNA SCHILLING MD, PLLC
Entity type:Organization
Organization Name:ANNA SCHILLING MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:DE OCAMPO
Authorized Official - Last Name:SCHILLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-245-1711
Mailing Address - Street 1:420 S BROADWAY ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-4092
Mailing Address - Country:US
Mailing Address - Phone:828-245-1711
Mailing Address - Fax:
Practice Address - Street 1:420 S BROADWAY ST
Practice Address - Street 2:SUITE 108
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-4092
Practice Address - Country:US
Practice Address - Phone:828-245-1711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891293AMedicaid
NCG45415Medicare UPIN