Basic Information
| Provider Information | |||||||||
| NPI: | 1336141571 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHINDLER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1633 W MORRIS BLVD STE A | ||||||||
| Address2: | |||||||||
| City: | MORRISTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378133875 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8654469500 | ||||||||
| FaxNumber: | 8654469501 | ||||||||
| Practice Location | |||||||||
| Address1: | 1721 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WHITE PINE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378903303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8656746400 | ||||||||
| FaxNumber: | 8656746401 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2005 | ||||||||
| LastUpdateDate: | 06/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD0000035330 | TN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1505573 | 05 | TN | MEDICAID | 4269470 | 01 | TN | AETNA | OTHER | 4176836 | 01 | TN | BCBS | OTHER | 3865015 | 05 | TN | MEDICAID |