=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477689321
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RICHARD PAUL SCHEINMAN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2007
-----------------------------------------------------
Last Update Date | 11/19/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 203 OLD COAST WAGON ROAD
-----------------------------------------------------
City | PETROLIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95558-0049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-629-3365
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 49
-----------------------------------------------------
City | PETROLIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95558-0049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-629-3365
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | G23001
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------