Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 85339 | GA |
Y | 207X00000X | Orthopaedic Surgeon | D91719 | MD |
NPI | 1003202086 |
---|---|
Provider Name | Dr. Adam Schell |
First Address | Baltimore, MD 21202-2102 |
Second Address | Baltimore, MD 21202-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2015 |
Last Update Date | 29/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
85339 | GEORGIA MEDICAL LICENSE (01) | GA |
D91719 | MARYLAND MEDICAL LICENSE (01) | MD |