Individual
DR. THOMAS W. SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 761-4351
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 761-4351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R4D13
MO
207RP1001X
Pulmonary Disease Physician
Primary
R4D13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010688
IMI MCR GROUP
MO
05
—
1003875360
—
MO
01
—
112762
BCBS
MO
01
—
179972
HEALTHLINK
MO
01
—
290010193
MEDICARE RAILROAD
MO
01
—
CC7852
PALMETTO GROUP
MO
Enumeration date
03/23/2006
Last updated
06/28/2023
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