MEDICARE: DR. ALAN LEE 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	208000000X	Pediatrics Physician	01038581A	IN

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
2	000000328121	OTHER	IN	INDIANA ANTHEM/WELLPOINT

General Provider Information

NPI Number	:	1780679076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN LEE SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	8424 NAAB RD
Second Line	:	SUITE 3-L
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1975
Country	:	US
Telephone Number	:	317-879-9777
Fax Number	:	317-879-9788

Provider Business Practice Location Address
First Line	:	8424 NAAB RD
Second Line	:	SUITE 3-L
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1975
Country	:	US
Telephone Number	:	317-879-9777
Fax Number	:	317-879-9788

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

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	11/06/2012

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