MEDICARE: OSCAR A SCHWARTZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	R2B77	MO
2	207RP1001X	Pulmonary Disease Physician	036082038	IL
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	036082038	IL
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	R2B77	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003807314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR A SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	670 MASON RIDGE CENTER DR
Second Line	:	STE 300
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8573
Country	:	US
Telephone Number	:	314-996-8072
Fax Number	:	314-996-8167

Provider Business Practice Location Address
First Line	:	969 N MASON RD
Second Line	:	SUITE 250
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6338
Country	:	US
Telephone Number	:	314-996-8072
Fax Number	:	314-996-8167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	02/12/2021

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