Provider Demographics
NPI:1801456181
Name:SCHATZ, MICHAEL JACOB
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JACOB
Last Name:SCHATZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3902
Mailing Address - Country:US
Mailing Address - Phone:610-477-6370
Mailing Address - Fax:
Practice Address - Street 1:301 BOWMAN GRAY DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7204
Practice Address - Country:US
Practice Address - Phone:252-758-5800
Practice Address - Fax:252-758-3508
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-01301207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty