MEDICARE: ANDREW R SCHOCK P.A.

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	363AS0400X	Surgical Physician Assistant

General Provider Information

NPI Number	:	1083641195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW R SCHOCK P.A.

Provider Business Mailing Address
First Line	:	118 PONDEROSA AVE
Second Line	:
City	:	HILL CITY
State	:	SD
Zip	:	57745-6058
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 PONDEROSA AVE
Second Line	:
City	:	HILL CITY
State	:	SD
Zip	:	57745-6058
Country	:	US
Telephone Number	:	605-394-2118
Fax Number	:

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	11/11/2022

Similar Medicare Providers

1770556599 — MR. CURTIS J LIEDTKE DO
Practice Location Address:

118 PONDEROSA AVE
HILL CITY, SD
57745-6058

Practice Phone: 605-394-2118
Practice Fax:

1710558952 — MARSHA SUZANNE JARVIS RN
Practice Location Address:

158 PONDEROSA AVE
HILL CITY, SD
57745-6058

Practice Phone: 605-430-2704
Practice Fax:

1811071277 — CROOKED OAK PUBLIC SCHOOLS
Practice Location Address:

1901 SE 15TH ST
OKLAHOMA CITY, OK
73129-6058

Practice Phone: 405-677-5252
Practice Fax: 405-670-8070

1366647117 — KIMBERLY MICHELE LUKAT LM
Practice Location Address:

2904 SW MARIPOSA CIR
PALM CITY, FL
34990-6058

Practice Phone: 772-781-3830
Practice Fax: 772-781-3830

1033342654 — MMRX HEALTHSOLUTIONS INC
Practice Location Address:

12620 US HIGHWAY 301
DADE CITY, FL
33525-6058

Practice Phone: 352-521-0155
Practice Fax: 352-521-0675

1225569247 — IRAISY PANEQUE PHARMD
Practice Location Address:

12620 US HIGHWAY 301
DADE CITY, FL
33525-6058

Practice Phone: 352-521-0155
Practice Fax:

Directions to “ ANDREW R SCHOCK P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.