Healthcare Provider Details

I. General information

NPI: 1891832523
Provider Name (Legal Business Name): DAVID M. SCHNEIDER, MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4452 EASTGATE BLVD 305
CINCINNATI OH
45245-1584
US

IV. Provider business mailing address

4452 EASTGATE BLVD 305
CINCINNATI OH
45245-1584
US

V. Phone/Fax

Practice location:
  • Phone: 513-752-5700
  • Fax: 513-752-5716
Mailing address:
  • Phone: 513-752-5700
  • Fax: 513-752-5716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number0087AS
License Number StateOH

VIII. Authorized Official

Name: DR. DAVID MICHAEL SCHNEIDER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 513-752-5700