Provider Demographics
NPI:1699711242
Name:SCHNEIDER, LINDA GP II (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:GP
Last Name:SCHNEIDER
Suffix:II
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:860 OMNI BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4430
Mailing Address - Country:US
Mailing Address - Phone:757-232-8769
Mailing Address - Fax:757-232-8875
Practice Address - Street 1:2205 EXECUTIVE DR STE D
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2948
Practice Address - Country:US
Practice Address - Phone:757-223-4992
Practice Address - Fax:757-223-5350
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2020-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101035848207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA088744OtherANTHEM
VA17528OtherOPTIMA
VA259683OtherMAMSI/OPTIMUM CHOICE
VA010165326Medicaid
VA541124730OtherTRICARE/CHAMPUS
VA541124730OtherVIRGINIA HEALTHNETWORK
VA600010780OtherCIGNA
VA259683OtherUNITED HEALTHCARE
VA600010780OtherCIGNA
VA17528OtherOPTIMA