Healthcare Provider Details

I. General information

NPI: 1548584824
Provider Name (Legal Business Name): LAURA SCHAMING PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 STONEWOOD DR
WEXFORD PA
15090-7380
US

IV. Provider business mailing address

6001 STONEWOOD DR
WEXFORD PA
15090-7380
US

V. Phone/Fax

Practice location:
  • Phone: 724-772-2711
  • Fax:
Mailing address:
  • Phone: 724-772-2711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA053652
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberMA053652
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: