Provider Demographics
NPI:1336125731
Name:SCHATZKI, ANDREW D (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:D
Last Name:SCHATZKI
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 1:21300 N JOHN WAYNE PKWY
Mailing Address - Street 2:STE 123
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85239-8979
Mailing Address - Country:US
Mailing Address - Phone:520-494-7778
Mailing Address - Fax:520-494-7779
Practice Address - Street 1:21300 N JOHN WAYNE PKWY
Practice Address - Street 2:STE 123
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85239-8979
Practice Address - Country:US
Practice Address - Phone:520-494-7778
Practice Address - Fax:520-494-7779
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ26214207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ442054Medicaid
AZZ112442Medicare PIN
AZH08730Medicare UPIN