Provider Demographics
NPI:1841292851
Name:SCHOEDEL, CHRISTIANNE (MD)
Entity type:Individual
Prefix:
First Name:CHRISTIANNE
Middle Name:
Last Name:SCHOEDEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 SAINT CHARLES WAY
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4647
Mailing Address - Country:US
Mailing Address - Phone:717-757-2020
Mailing Address - Fax:717-747-5999
Practice Address - Street 1:360 SAINT CHARLES WAY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4647
Practice Address - Country:US
Practice Address - Phone:717-757-2020
Practice Address - Fax:717-747-5999
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2020-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 059277L207W00000X
PAMD059277L207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA053710OtherHEALTH AMERICA/ASSURANCE
PA3848230OtherAETNA HMO
PA10039101OtherCAPITAL BLUE CROSS
PA46069OtherGEISINGER HEALTH PLANS
PA368328OtherMAMSI HEALTH PLANS
MD852228600Medicaid
PA90119OtherMEDPLUS THREE RIVERS
PA0016396100005Medicaid
PA338168OtherKEYSTONE HEALTH PLAN CENT
PA7453711OtherAETNA PPO
PA802863OtherHIGHMARK BLUE SHIELD
PA1519288OtherGATEWAY HEALTH PLAN
PA368328OtherMAMSI HEALTH PLANS
PA3848230OtherAETNA HMO