Provider Demographics
NPI:1336141571
Name:SCHINDLER, JAMES B (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:SCHINDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 W MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-3875
Mailing Address - Country:US
Mailing Address - Phone:865-446-9500
Mailing Address - Fax:865-446-9501
Practice Address - Street 1:1721 MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITE PINE
Practice Address - State:TN
Practice Address - Zip Code:37890-3303
Practice Address - Country:US
Practice Address - Phone:865-674-6400
Practice Address - Fax:865-674-6401
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000035330207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1505573Medicaid
TN4269470OtherAETNA
TN4176836OtherBCBS
TN3865015Medicaid
TN4269470OtherAETNA
TN38650151Medicare PIN
TN1505573Medicaid
TN3865015Medicaid