Provider Demographics
NPI:1730164211
Name:SCHWARTZ, JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9167 TRIVOLI TER
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-2005
Mailing Address - Country:US
Mailing Address - Phone:401-258-3618
Mailing Address - Fax:239-266-2212
Practice Address - Street 1:9167 TRIVOLI TER
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-2005
Practice Address - Country:US
Practice Address - Phone:401-258-3618
Practice Address - Fax:239-266-2212
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME143275207Q00000X
RIRI9206207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0070071921OtherMEDICARE
RI7005523Medicaid
G11083Medicare UPIN