Healthcare Provider Details

I. General information

NPI: 1801943600
Provider Name (Legal Business Name): JONATHAN SCHNEIDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 01/27/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST SUITE 515
NASHVILLE TN
37203-1562
US

IV. Provider business mailing address

2400 PATTERSON ST SUITE 515
NASHVILLE TN
37203-1562
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-5900
  • Fax: 615-342-7898
Mailing address:
  • Phone: 615-342-5900
  • Fax: 615-342-7898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number42021
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number42021
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: