MEDICARE: JOEL MARK SCHUMACHER 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	207Q00000X	Family Medicine Physician	01041608	IN

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
2	000000216159	OTHER	IN	BCBS

General Provider Information

NPI Number	:	1174562656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL MARK SCHUMACHER M.D.

Provider Business Mailing Address
First Line	:	1105 CUMBERLAND XING
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383-2356
Country	:	US
Telephone Number	:	219-440-4835
Fax Number	:	866-699-6936

Provider Business Practice Location Address
First Line	:	1105 CUMBERLAND XING
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383-2356
Country	:	US
Telephone Number	:	219-440-4835
Fax Number	:	866-699-6936

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/21/2016

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