MEDICARE: JAMES SCHUMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1033820915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES SCHUMAN

Provider Business Mailing Address
First Line	:	418 CANAL COURT SOUTH DR APT B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-4615
Country	:	US
Telephone Number	:	815-721-9097
Fax Number	:

Provider Business Practice Location Address
First Line	:	980 INDIANA AVE RM 2210
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2915
Country	:	US
Telephone Number	:	317-278-9552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	12/12/2022

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Directions to “ JAMES SCHUMAN ” Practice Location

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