Healthcare Provider Details

I. General information

NPI: 1447247408
Provider Name (Legal Business Name): STEVEN M SCHNEIDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6955 PERIMETER LOOP RD
DUBLIN OH
43016-8580
US

IV. Provider business mailing address

5672 LOCH BROOM CIR
DUBLIN OH
43017-9487
US

V. Phone/Fax

Practice location:
  • Phone: 614-923-0300
  • Fax: 614-923-0400
Mailing address:
  • Phone: 614-793-8962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35043833S
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: