Healthcare Provider Details

I. General information

NPI: 1164516431
Provider Name (Legal Business Name): ROBERT J. SCHNECKER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 SHEPHERD CT
GREENFIELD IN
46140-3171
US

IV. Provider business mailing address

146 SHEPHERD CT
GREENFIELD IN
46140-3171
US

V. Phone/Fax

Practice location:
  • Phone: 317-528-4250
  • Fax:
Mailing address:
  • Phone: 317-528-4250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01057363
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: