Healthcare Provider Details
I. General information
NPI: 1699788117
Provider Name (Legal Business Name): BARTON DAVID SCHEINFELDT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/14/2006
Last Update Date: 06/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
321 W GIRARD AVE HEALTH CARE CENTER #6
PHILADELPHIA PA
19123-1531
US
IV. Provider business mailing address
500 S BROAD ST SUITE 360
PHILADELPHIA PA
19146-1613
US
V. Phone/Fax
- Phone: 215-685-3803
- Fax: 215-685-3848
- Phone: 215-685-6769
- Fax: 215-685-6732
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | OS003293L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | OS003293L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: