MEDICARE: RONALD SCHUBERT 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	0101-035167	VA

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

General Provider Information

NPI Number	:	1982670493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD SCHUBERT MD

Provider Business Mailing Address
First Line	:	616 MYSTIC WOODS LN
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-2223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 KILLDEER LN
Second Line	:
City	:	DAYTON
State	:	VA
Zip	:	22821-9745
Country	:	US
Telephone Number	:	540-879-2585
Fax Number	:

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	08/12/2011

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