MEDICARE: DOUGLAS JAMES SCHWARTZ M.D.

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	174400000X	Specialist	16736	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	100002420	OTHER	AZ	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0630251	OTHER	AZ	AETNA HEALTH PLAN
3	1383550-005	OTHER	AZ	CIGNA HEALTH PLAN
4	29-00113	OTHER	AZ	UNITED HEALTHCARE
5	AZ0320000	OTHER	AZ	BLUECROSS BLUESHIELD
6	295354	OTHER	AZ	AHCCCS

General Provider Information

NPI Number	:	1215929971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS JAMES SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	3020 E CAMELBACK RD
Second Line	:	SUITE 301
City	:	PHOENIX
State	:	AZ
Zip	:	85016-2848
Country	:	US
Telephone Number	:	602-229-1900
Fax Number	:	602-257-0810

Provider Business Practice Location Address
First Line	:	1300 N 12TH ST
Second Line	:	SUITE 522
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2848
Country	:	US
Telephone Number	:	602-229-1900
Fax Number	:	602-257-0810

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	02/17/2017

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Directions to “ DOUGLAS JAMES SCHWARTZ M.D.” Practice Location

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