Basic Information
Provider Information
NPI: 1003801309
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHNEYER
FirstName: BARTON
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1517 N HOWE ST
Address2: SUITE 12
City: SOUTHPORT
State: NC
PostalCode: 284612772
CountryCode: US
TelephoneNumber: 9104579684
FaxNumber:  
Practice Location
Address1: 1517 N HOWE ST
Address2: SUITE 12
City: SOUTHPORT
State: NC
PostalCode: 284612772
CountryCode: US
TelephoneNumber: 9104579684
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/13/2005
LastUpdateDate: 04/22/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X116357NYN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200X200500435NCN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X116357NYY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001X200500435NCN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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