Healthcare Provider Details

I. General information

NPI: 1497796551
Provider Name (Legal Business Name): DONALD LEE SCHOMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 TOWER RD
HINGHAM MA
02043-3318
US

IV. Provider business mailing address

58 TOWER RD
HINGHAM MA
02043-3318
US

V. Phone/Fax

Practice location:
  • Phone: 781-749-1815
  • Fax:
Mailing address:
  • Phone: 781-749-1815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number46310
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: