Healthcare Provider Details

I. General information

NPI: 1619024189
Provider Name (Legal Business Name): THOMAS MARTIN SCHIEBLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE # 20-25 GEISINGER MEDICAL CENTER
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

100 N ACADEMY AVE # 20-25 GEISINGER MEDICAL CENTER
DANVILLE PA
17822-9800
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6845
  • Fax: 570-271-6762
Mailing address:
  • Phone: 570-271-6845
  • Fax: 570-271-6762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD434278
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD434278
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: