Provider Demographics
NPI:1780600551
Name:SCHWARTZ, MICHAEL H (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:SCHWARTZ
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 1:7901 STEVENSON RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7901 STEVENSON RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-3026
Practice Address - Country:US
Practice Address - Phone:410-917-2643
Practice Address - Fax:410-580-9349
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0019667207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD508439OtherAETNA
MDS190 / 0003OtherBLUE CHOICE
MDKF68 / 361310-02, 03OtherBC/BS OF MD
MD251671300Medicaid
MDS190 / 0003OtherBLUE CHOICE
MDKL28 / 64EEMedicare ID - Type Unspecified