MEDICARE: STEPHEN A. SCHEMENAUER PA

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		OH
2	363A00000X	Physician Assistant	WV01039	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205028040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN A. SCHEMENAUER PA

Provider Business Mailing Address
First Line	:	906 WARREN ST
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750-1955
Country	:	US
Telephone Number	:	740-525-8664
Fax Number	:

Provider Business Practice Location Address
First Line	:	2910 EMERSON AVE
Second Line	:
City	:	PARKERSBURG
State	:	WV
Zip	:	26104-2519
Country	:	US
Telephone Number	:	304-428-1900
Fax Number	:	304-428-1976

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

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	01/20/2012

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