Healthcare Provider Details

I. General information

NPI: 1013565175
Provider Name (Legal Business Name): DAVID B SCHWARTZ MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2019
Last Update Date: 08/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE STE 320
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

PO BOX 637201
CINCINNATI OH
45263-7201
US

V. Phone/Fax

Practice location:
  • Phone: 513-241-4223
  • Fax:
Mailing address:
  • Phone: 513-241-4223
  • Fax: 513-241-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID B SCHWARTZ
Title or Position: PRESIDENT
Credential: MD
Phone: 513-241-4223