Individual
JONATHAN I SCHEINMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-9229
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-28382
KS
2080P0210X
Pediatric Nephrology Physician
Primary
27635
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100359320A
—
KS
05
—
204814305
—
MO
01
—
25912018
MISSOURI MEDICAID
MO
01
—
340017342
RR MEDICARE
—
01
—
667390
FIRSTGUARD
—
Enumeration date
08/30/2006
Last updated
02/10/2011
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