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DR RUSSELL O SCHUB PA NPI 1336332998


NPI Information

NPI: 1336332998
Provider Name: DR RUSSELL O SCHUB PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
8875 CENTRE PARK DR
SUITE D
COLUMBIA, MD
ZIP 21045
Phone: (410) 730-1000
Get Directions

DR RUSSELL O SCHUB PA is a gastroenterology internal medicine in Columbia, MD. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR RUSSELL O SCHUB PA NPI is 1336332998. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8875 CENTRE PARK DR
SUITE D
COLUMBIA, MD
ZIP 21045-382
Phone: (410) 730-1000
Fax: (410) 730-8615

The provider's authorized official is Russell O. Schub .
The authorized official title is President and has the following contact phone number (410) 730-1000.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 1/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNo
2207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DN9254MEDICARE PIN
2100004444MEDICARE PIN
38338RUOTHERMARYLANDBLUE SHIELD
4130249MEDICARE PIN
5C428OTHERDISTRICT OF COLUMBIABLUE SHIELD
68338MEDICARE PIN
7526471500MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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