Provider Demographics
NPI:1447246897
Name:SCHATZ, NATHAN (MD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:
Last Name:SCHATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 DUNDEE DR
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1617
Mailing Address - Country:US
Mailing Address - Phone:215-379-2000
Mailing Address - Fax:215-220-3453
Practice Address - Street 1:50 TOWNSHIP LINE RD
Practice Address - Street 2:SUITE 222
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2249
Practice Address - Country:US
Practice Address - Phone:215-379-2000
Practice Address - Fax:215-220-3453
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD006981E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0621569Medicaid
PAB33057Medicare UPIN
PA018061Medicare ID - Type UnspecifiedBLUE SHIELD #