Provider Demographics
NPI:1427152511
Name:SCHANNE, FRANCIS J (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:J
Last Name:SCHANNE
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 1:1145 BEACON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2471
Mailing Address - Country:US
Mailing Address - Phone:609-597-1991
Mailing Address - Fax:609-597-1991
Practice Address - Street 1:2110 NEW RD STE 2
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1013
Practice Address - Country:US
Practice Address - Phone:609-383-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08009800208800000X
DEC10006833208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2107754OtherMAMSI
H80121OtherFEDERAL UPN
1000023445OtherDE PHYS SCHANNE
1619536OtherAMERIHEALTH PERS CHOICE H
P00083918OtherRR MEDICARE
1000030165OtherEDS
191931OtherCOVENTRY
3075613OtherAETNA
2107754OtherOPTIMUM CHOICE
2107754OtherMAMSI
2297285000OtherAMERIHEALTH HMO SCHANNE
3075613OtherAETNA
H80121OtherFEDERAL UPN
2107754OtherOPTIMUM CHOICE
00B673U24Medicare ID - Type Unspecified
G01124Medicare ID - Type Unspecified
DE00B673U24Medicare PIN
P00083918OtherRR MEDICARE
61668248OtherBCBS