Provider Demographics
NPI:1285669879
Name:SCHWARTZ, JOEL D (MD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:D
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 1:1300 OXFORD DR
Mailing Address - Street 2:SUITE LLC
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-1896
Mailing Address - Country:US
Mailing Address - Phone:412-831-7570
Mailing Address - Fax:412-831-7073
Practice Address - Street 1:1300 OXFORD DR
Practice Address - Street 2:SUITE LLC
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1896
Practice Address - Country:US
Practice Address - Phone:412-831-7570
Practice Address - Fax:412-831-7073
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015816E207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008681900005Medicaid
PA0008681900005Medicaid
109273G2DMedicare ID - Type Unspecified
PA109273G2DMedicare PIN