Individual
MICHAEL RAYMOND SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-0275
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
006371
GA
367H00000X
Anesthesiologist Assistant
Primary
75000103A
IN
367H00000X
Anesthesiologist Assistant
AA325
FL
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120773A
—
GA
05
—
003120773B
—
GA
05
—
003120773C
—
GA
05
—
003120773D
—
GA
01
—
01777933
AMERIGROUP
GA
05
—
017831500
—
FL
01
—
1100126031
ANTHEM PTAN
IN
01
—
580628385
TRICARE
GA
01
—
656393
WELLCARE
GA
01
—
P01078811
RAILROAD MEDICARE
GA
Enumeration date
01/30/2012
Last updated
12/02/2024
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