MEDICARE: DR. MICHAEL A SCHWARTZMAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	07000927A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4788030001	OTHER	IN	MEDICARE -DMERC
4	4788030002	OTHER	IL	MEDICARE-DMERC PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	90001073	OTHER	IN	BC/BS
3	1861660607	OTHER	IN	DMERC BILLING NPI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	364166383T	OTHER	IL	BC IL
8	480032395	OTHER	IN	RAILROAD RETIREMENT- RRMC

General Provider Information

NPI Number	:	1477547131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A SCHWARTZMAN DPM

Provider Business Mailing Address
First Line	:	1104 119TH ST
Second Line	:
City	:	WHITING
State	:	IN
Zip	:	46394-1515
Country	:	US
Telephone Number	:	219-659-3338
Fax Number	:	219-659-3668

Provider Business Practice Location Address
First Line	:	1104 119TH ST
Second Line	:
City	:	WHITING
State	:	IN
Zip	:	46394-1515
Country	:	US
Telephone Number	:	219-659-3338
Fax Number	:	219-659-3668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	12/11/2015

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1861660607 — MICHAEL A SCHWARTZMAN,DPM, LTD
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1124005418 — TAJUDEEN OGBARA M.D.
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