Healthcare Provider Details

I. General information

NPI: 1366542904
Provider Name (Legal Business Name): MARK ANTHONY SCHUMACHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCSF MEDICAL CENTER 513 PARNASSUS AVE ROOM S436 ( BOX 0427)
SAN FRANCISCO CA
94143-0001
US

IV. Provider business mailing address

UCSF MEDICAL CENTER 513 PARNASSUS AVE ROOM S436 ( BOX 0427)
SAN FRANCISCO CA
94143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-7022
  • Fax: 415-514-0185
Mailing address:
  • Phone: 415-502-7022
  • Fax: 415-514-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG72778
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberG72778
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: