Provider Demographics
NPI:1700981057
Name:SCHWARTZ, NATHAN HAROLD (DPM)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:HAROLD
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 VANN ST NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7249
Mailing Address - Country:US
Mailing Address - Phone:704-347-0787
Mailing Address - Fax:770-984-0303
Practice Address - Street 1:165 VANN ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7249
Practice Address - Country:US
Practice Address - Phone:707-434-7078
Practice Address - Fax:770-487-1232
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA400213ES0103X
GAPOD000400213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA393711OtherBCBS
GA4031414OtherAETNA POS/PPO
GA000006102HMedicaid
GA202I484864OtherMEDICARE PTAN
GA6975850OtherCIGNA
GAP00161112OtherRR MEDICARE
GA000006102FMedicaid
GA3606057OtherAETNA
GA202I484864OtherMEDICARE PTAN
GA000006102HMedicaid