Provider Demographics
NPI:1700870219
Name:SCHWARTZ, ANTHONY (DO)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 COMMERCE WAY
Mailing Address - Street 2:SUITE 180
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2829
Mailing Address - Country:US
Mailing Address - Phone:615-465-7000
Mailing Address - Fax:
Practice Address - Street 1:1225 HANCOCK RD
Practice Address - Street 2:SUITE 204
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-5948
Practice Address - Country:US
Practice Address - Phone:928-704-3712
Practice Address - Fax:928-704-3715
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4270208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1700870219OtherBCBS
AZ2Z7268OtherHEALTH NET OF AZ
AZ961400OtherHEALTH CHOICE OF AZ
AZ961400003OtherARIZONA PHYSICIANS IPA
AZ4286905OtherAETNA
AZ961400Medicaid
AZ4286905OtherAETNA
AZ1700870219OtherBCBS
AZ961400Medicaid