Healthcare Provider Details

I. General information

NPI: 1255396271
Provider Name (Legal Business Name): RICHARD HILL SCHRECKENGAUST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 KINKAID RD
ANNAPOLIS MD
21402-1006
US

IV. Provider business mailing address

695 KINKAID RD
ANNAPOLIS MD
21402-1006
US

V. Phone/Fax

Practice location:
  • Phone: 410-293-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101269784
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: