DOUGLAS J SCHWARTZENTRUBER M.D. NPI 1962482406

NPI Information

NPI: 1962482406
Provider Name: DOUGLAS J SCHWARTZENTRUBER, M.D.
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

PECOS Registration: Yes

Address:
535 BARNHILL DR
RT 252
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-0301
Get Directions

Douglas J Schwartzentruber, M.D. is a surgical oncology surgery in Indianapolis, IN. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Douglas J Schwartzentruber, M.D. NPI is 1962482406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

535 BARNHILL DR
RT 252
INDIANAPOLIS, IN
ZIP 46202-116
Phone: (317) 944-0301
Fax: (317) 278-6523

The NPI 1962482406 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 7/9/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		01031937	INDIANA	No
2	2086X0206X	Surgery	Surgical Oncology	01031937A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200456350	MEDICAID	INDIANA
2	H94725	MEDICARE UPIN	INDIANA
3	M400053983	MEDICARE OSCAR/CERTIFICATION	INDIANA
4	M400053983	MEDICARE PIN	INDIANA
5	000000720155	OTHER	INDIANA	ANTHEM PIN
6	P01113498	MEDICARE PIN	INDIANA

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

NPI Synchronization or Removal

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