MEDICARE: DR. MIREN AVA SCHINCO SCHAFFER 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	208600000X	Surgery Physician	ME78698	FL
2	208600000X	Surgery Physician	0101272770	VA
3	2086S0102X	Surgical Critical Care Physician	ME78698	FL
4	208600000X	Surgery Physician	2015-01379	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020036013	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831164359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIREN AVA SCHINCO SCHAFFER M.D.

Provider Business Mailing Address
First Line	:	1701 N GEORGE MASON DR STE 304
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3610
Country	:	US
Telephone Number	:	202-677-6038
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 N GEORGE MASON DR
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3683
Country	:	US
Telephone Number	:	703-558-5000
Fax Number	:

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

Provider Enumeration Date	:	02/19/2006
Last Update Date	:	10/01/2021

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Directions to “ DR. MIREN AVA SCHINCO SCHAFFER M.D.” Practice Location

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