MEDICARE: DR. JOSHUA AARON SCHAMMEL 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	390200000X	Student in an Organized Health Care Education/Training Program	NA	SC
2	208600000X	Surgery Physician	TBD	NV

General Provider Information

NPI Number	:	1609403815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA AARON SCHAMMEL MD

Provider Business Mailing Address
First Line	:	610 FORREST HAVEN CT
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-6522
Country	:	US
Telephone Number	:	864-285-2042
Fax Number	:

Provider Business Practice Location Address
First Line	:	2075 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5188
Country	:	US
Telephone Number	:	702-388-4000
Fax Number	:

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

Provider Enumeration Date	:	03/26/2020
Last Update Date	:	03/26/2020

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