Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R4D13 | MO |
N | 111NI0900X | Internist | R4D13 | MO |
Y | 207RP1001X | Pulmonary Disease | R4D13 | MO |
NPI | 1003875360 |
---|---|
Provider Name | Dr. Thomas W. Schneider |
First Address | Jefferson City, MO 65110-4240 |
Second Address | Jefferson City, MO 65109-6023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 14/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000010688 | IMI MCR GROUP (01) | MO |
1003875360 | (05) | MO |
112762 | BCBS (01) | MO |
179972 | HEALTHLINK (01) | MO |
290010193 | MEDICARE RAILROAD (01) | MO |
A02806 | (02) | |
CC7852 | PALMETTO GROUP (01) | MO |