Provider Demographics
NPI:1871559385
Name:SCHNEIDER, STEVEN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8465 KEYSTONE XING 210
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-4354
Mailing Address - Country:US
Mailing Address - Phone:317-870-1396
Mailing Address - Fax:317-757-8491
Practice Address - Street 1:2725 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-9670
Practice Address - Country:US
Practice Address - Phone:765-374-6044
Practice Address - Fax:317-757-8491
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INO1038074A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201174740Medicaid
IN100340960Medicaid
IN150640IMedicare PIN
IN265570006Medicare PIN
IN100340960Medicaid
IN201174740Medicaid