Healthcare Provider Details

I. General information

NPI: 1922441583
Provider Name (Legal Business Name): SAMUEL A. SCHUELER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2013
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2160
  • Fax: 202-741-2169
Mailing address:
  • Phone: 202-741-2160
  • Fax: 202-741-2169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD048295
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: