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NPI Code Detail

MEDICARE: DR. MICHAEL WILLIAM SHULTZ DO

MEDICARE: DR. MICHAEL WILLIAM SHULTZ DO
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
1207Q00000XFamily Medicine Physician34004267SOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8080011301OTHERRAILROAD MEDICARE
120599322OTHERMEDICARE CLASS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1341563209OTHERAETNA CLASS
234156320900OTHERUNITED HEALTHCARE CLASS
3000000133995OTHERANTHEM SENIOR ADVANCE
40665169OTHEROH WELFARE CLASS
5000000133995OTHERANTHEM CLASS
6000000133995OTHERANTHEM BENEFIT
760322OTHERQUALCHOICE
9516931OTHERHIGHMARK
10516931OTHERSELECT BLUE
11000000133995OTHERANTHEM FEP
130102261OTHERUHC OF COLUMBUS
14MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649261868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL WILLIAM SHULTZ DO
Provider Business Mailing Address
First Line : 315 STRUTHERS LIBERTY RD
Second Line :
City : CAMPBELL
State : OH
Zip : 44405-1949
Country : US
Telephone Number : 330-750-1333
Fax Number : 330-750-0203
Provider Business Practice Location Address
First Line : 315 STRUTHERS LIBERTY RD
Second Line :
City : CAMPBELL
State : OH
Zip : 44405-1949
Country : US
Telephone Number : 330-750-1333
Fax Number : 330-750-0203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 12/23/2009

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Directions to “ DR. MICHAEL WILLIAM SHULTZ DO” Practice Location

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