Provider Demographics
NPI:1386723443
Name:SCHUMACHER, MARK PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:PATRICK
Last Name:SCHUMACHER
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 1:236 W 6TH ST STE 304
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4517
Mailing Address - Country:US
Mailing Address - Phone:775-688-6200
Mailing Address - Fax:775-688-6222
Practice Address - Street 1:236 W 6TH ST STE 304
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4517
Practice Address - Country:US
Practice Address - Phone:775-688-6200
Practice Address - Fax:775-688-6222
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4952207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002016298Medicaid
NV002016298Medicaid