Provider Demographics
NPI:1396755971
Name:SCHREIBER, DOUGLAS R (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:R
Last Name:SCHREIBER
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 1:1020 INDEPENDENCE BLVD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:VIRGINIA BCH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5543
Mailing Address - Country:US
Mailing Address - Phone:757-460-1144
Mailing Address - Fax:757-460-4967
Practice Address - Street 1:1020 INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 306
Practice Address - City:VIRGINIA BCH
Practice Address - State:VA
Practice Address - Zip Code:23455-5543
Practice Address - Country:US
Practice Address - Phone:757-460-1144
Practice Address - Fax:757-460-4967
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034410207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA17489OtherOPTIMA
VA076163OtherANTHEM BCBS
VA62539018OtherMULTIPLAN P
VA4377217OtherAETNA
VA17489OtherOPTIMA
B08463Medicare UPIN