Provider Demographics
NPI:1417913005
Name:SCHUMACHER, MARK E (PA)
Entity type:Individual
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First Name:MARK
Middle Name:E
Last Name:SCHUMACHER
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Gender:M
Credentials:PA
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Mailing Address - Street 1:5400 FRANTZ RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4144
Mailing Address - Country:US
Mailing Address - Phone:614-544-6356
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:340 E TOWN ST
Practice Address - Street 2:SUITE 8-500
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4600
Practice Address - Country:US
Practice Address - Phone:614-566-7370
Practice Address - Fax:614-533-0187
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2022-01-25
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Provider Licenses
StateLicense IDTaxonomies
OH50001516363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0097732Medicaid