=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770225807
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHAEL SCHNEPF DO
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2022
-----------------------------------------------------
Last Update Date | 07/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10901 E MCDOWELL RD
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85256-5300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-873-0776
-----------------------------------------------------
Fax | 480-882-6801
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10901 E MCDOWELL RD
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85256-5300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-278-7742
-----------------------------------------------------
Fax | 480-826-8018
-----------------------------------------------------
=====================================================
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 | 010736
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------