Provider Demographics
NPI:1740810167
Name:SCHMAUDER, MASON (PA-C)
Entity type:Individual
Prefix:
First Name:MASON
Middle Name:
Last Name:SCHMAUDER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6226
Mailing Address - Country:US
Mailing Address - Phone:610-402-8430
Mailing Address - Fax:610-402-1676
Practice Address - Street 1:1255 S CEDAR CREST BLVD STE 2100
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6226
Practice Address - Country:US
Practice Address - Phone:610-402-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061214363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical