Provider Demographics
NPI:1316980600
Name:SCHNEID, CHRISTOPHER (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SCHNEID
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 VIRGINIA AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1306
Mailing Address - Country:US
Mailing Address - Phone:304-545-0357
Mailing Address - Fax:
Practice Address - Street 1:3303 VIRGINIA AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1306
Practice Address - Country:US
Practice Address - Phone:304-545-0357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV35595367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001706470OtherMSBCBS GROUP
WV270052997004OtherTRICARE
WVP00475965OtherRAILROAD MEDICARE
WV27005299701OtherBRICKSTREET
WV001713628OtherBCBS
WV001713628OtherMSBCBS
WV27005299700OtherWORKERS COMP
WV270052997002OtherTRICARE
WV0207026000Medicaid
WV8222994Medicare PIN
WV006926400Medicaid
WV9333201Medicare PIN
WVDA0096OtherRAILROAD MEDICARE