Healthcare Provider Details

I. General information

NPI: 1316524291
Provider Name (Legal Business Name): JONAH AARON SCHINDELHEIM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 FRANKLIN SQUARE DR DEPT OF
BALTIMORE MD
21237-3901
US

IV. Provider business mailing address

9000 FRANKLIN SQUARE DR DEPT OF
BALTIMORE MD
21237-3901
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7771
  • Fax: 443-777-1414
Mailing address:
  • Phone: 443-777-7771
  • Fax: 443-777-1414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number34.018803
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: