MEDICARE: DR. GREGORY WILLIAM SCHNEIDER MD

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	207Q00000X	Family Medicine Physician	MD2006-0167	NM
2	207Q00000X	Family Medicine Physician	ME126981	FL
3	207Q00000X	Family Medicine Physician	23350	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23350	OTHER	NV	NEVADA MEDICAL LICENSE
2	MD2006-0167	OTHER	NM	NM LICENSE
3	ME126981	OTHER	FL	FLORIDA MEDICAL LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245496223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY WILLIAM SCHNEIDER MD

Provider Business Mailing Address
First Line	:	5380 S RAINBOW BLVD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1878
Country	:	US
Telephone Number	:	702-463-4040
Fax Number	:	702-968-5681

Provider Business Practice Location Address
First Line	:	5380 S RAINBOW BLVD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1878
Country	:	US
Telephone Number	:	702-463-4040
Fax Number	:	702-968-5681

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

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	01/03/2024

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