MEDICARE: DR. ROBERT NEAL SCHALLER 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	207Q00000X	Family Medicine Physician	36819	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	4550	OTHER	NC	PARTNERS MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5480170	OTHER	NC	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	65133	OTHER	NC	MEDCOST
5	76624	OTHER	NC	BCBS NC

General Provider Information

NPI Number	:	1336199769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT NEAL SCHALLER M.D.

Provider Business Mailing Address
First Line	:	1200 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1004
Country	:	US
Telephone Number	:	336-832-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 GOLF HOUSE CT E
Second Line	:
City	:	WHITSETT
State	:	NC
Zip	:	27377-9296
Country	:	US
Telephone Number	:	336-449-9848
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	12/05/2012

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