Healthcare Provider Details

I. General information

NPI: 1841292851
Provider Name (Legal Business Name): CHRISTIANNE SCHOEDEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 04/18/2020
Certification Date: 04/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 SAINT CHARLES WAY
YORK PA
17402-4647
US

IV. Provider business mailing address

360 SAINT CHARLES WAY
YORK PA
17402-4647
US

V. Phone/Fax

Practice location:
  • Phone: 717-757-2020
  • Fax: 717-747-5999
Mailing address:
  • Phone: 717-757-2020
  • Fax: 717-747-5999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD 059277L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License NumberMD059277L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: