Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 26640 | NE |
N | 2086S0127X | Trauma Surgeon | 200100775 | NC |
NPI | 1124019963 |
---|---|
Provider Name | Dr. Paul J Schenarts |
First Address | Omaha, NE 68198-3280 |
Second Address | Omaha, NE 68198-3280 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2005 |
Last Update Date | 23/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020050019 | RAILROAD MEDICARE (01) | NC |
129FN | BCBS NC (01) | NC |
89129FN | (05) | NC |
H21384 | (02) | NC |