Healthcare Provider Details

I. General information

NPI: 1760801047
Provider Name (Legal Business Name): JOHN PAUL SCHACHT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 06/25/2024
Certification Date: 06/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WR, 8901 ROCKVILLE PIKE, BETHESDA, MD 20889 AMERICA BUIDLING, 4TH FLOOR, ROOM 4044
WR (8901 ROCKVILLE PIKE, BETHESDA, MD 20 MD
20889
US

IV. Provider business mailing address

WR (8901 ROCKVILLE PIKE BETHESDA MD 20889)
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-1623
  • Fax: 301-319-0290
Mailing address:
  • Phone: 301-400-1623
  • Fax: 301-319-0290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1447
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number1447
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: