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1366023889 NPI number — GREGORY THOMAS SCHANDLER MD

NPI Number: 1366023889
Health Care Provider/Practitioner: GREGORY THOMAS SCHANDLER MD

Information about “1366023889” NPI (GREGORY THOMAS SCHANDLER MD) exists in 1366023889 in HTML format HTML  |  1366023889 in plain Text format TXT  |  1366023889 in PDF (Portable Document Format) PDF  |  1366023889 in an XML format XML  formats.

NPI Number : 1366023889 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366023889",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHANDLER",
    "FirstName": "GREGORY",
    "MiddleName": "THOMAS",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHANDLER",
    "OtherFirstName": "GREGORY",
    "OtherMiddleName": "THOMAS",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3551 ROGER BROOKE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JBSA FT SAM HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78234-4504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-916-6807",
    "MailingAddressFaxNumber": "210-916-4530",
    "FirstLinePracticeLocationAddress": "301 FISHER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KEESLER AFB",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39534-2508",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "228-376-4454",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/16/2021",
    "LastUpdateDate": "07/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207ZP0102X",
        "TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
        "LicenseNumber": "0101278030",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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