Provider Demographics
NPI:1285716886
Name:DAVID L SCHNEIDER MD APMC
Entity type:Organization
Organization Name:DAVID L SCHNEIDER MD APMC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FATAKIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-934-8461
Mailing Address - Street 1:1151 BARATARIA BLVD STE 3100
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3083
Mailing Address - Country:US
Mailing Address - Phone:504-934-8462
Mailing Address - Fax:504-371-3811
Practice Address - Street 1:1151 BARATARIA BLVD STE 3100
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3083
Practice Address - Country:US
Practice Address - Phone:504-934-8461
Practice Address - Fax:504-227-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1442020Medicaid
LA5C771Medicare PIN