Basic Information
Provider Information
NPI: 1780011924
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHAUS
FirstName: AMBER
MiddleName: DAWN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 565 COAL VALLEY RD
Address2:  
City: JEFFERSON HILLS
State: PA
PostalCode: 150253703
CountryCode: US
TelephoneNumber: 4124695000
FaxNumber: 4124697174
Practice Location
Address1: 565 COAL VALLEY RD
Address2:  
City: JEFFERSON HILLS
State: PA
PostalCode: 150253703
CountryCode: US
TelephoneNumber: 4124695000
FaxNumber: 4124697174
Other Information
ProviderEnumerationDate: 10/02/2013
LastUpdateDate: 10/13/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X101303PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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