Provider Demographics
NPI:1194757948
Name:SCHNEIDER, DOUGLAS JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:JAMES
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:800 ROSE STREET MN 150
Mailing Address - Street 2:KENTUCKY CHILDREN'S HOSPITAL
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0298
Mailing Address - Country:US
Mailing Address - Phone:859-323-5494
Mailing Address - Fax:859-323-3499
Practice Address - Street 1:800 ROSE STREET, MN150
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-323-5494
Practice Address - Fax:859-323-3499
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2013-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI495792080P0202X
KY267072080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology