Basic Information
| Provider Information | |||||||||
| NPI: | 1679682330 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOLNICK | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10978 DONNER PASS RD | ||||||||
| Address2: | |||||||||
| City: | TRUCKEE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 961610433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5305821212 | ||||||||
| FaxNumber: | 5305874278 | ||||||||
| Practice Location | |||||||||
| Address1: | 10978 DONNER PASS RD | ||||||||
| Address2: | |||||||||
| City: | TRUCKEE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 961610433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5305821212 | ||||||||
| FaxNumber: | 5305874278 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2006 | ||||||||
| LastUpdateDate: | 02/14/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | MD00043697 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | A115909 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 2930SC | 01 | WA | REGENCE | OTHER | 223375 | 01 | WA | LABOR & INDUSTRY | OTHER | 8425753 | 05 | WA | MEDICAID | P00442310 | 01 | WA | PALMETTO RR MEDICARE | OTHER |