MEDICARE: SCOTT A SCHAPKER 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	30606	AZ

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	:	1245346816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT A SCHAPKER M.D.

Provider Business Mailing Address
First Line	:	3660 W BETHANY HOME RD
Second Line	:	SUITE A
City	:	PHOENIX
State	:	AZ
Zip	:	85019-1953
Country	:	US
Telephone Number	:	602-973-3200
Fax Number	:	602-973-0508

Provider Business Practice Location Address
First Line	:	3660 W BETHANY HOME RD
Second Line	:	SUITE A
City	:	PHOENIX
State	:	AZ
Zip	:	85019-1953
Country	:	US
Telephone Number	:	602-973-3200
Fax Number	:	602-973-0508

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/09/2007

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