Healthcare Provider Details

I. General information

NPI: 1700780236
Provider Name (Legal Business Name): ANDREW MICHAEL SHEIDLER
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1787 N DIXIE HWY
LIMA OH
45801-3222
US

IV. Provider business mailing address

3132 ADA RD
LIMA OH
45801-3329
US

V. Phone/Fax

Practice location:
  • Phone: 419-221-0550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number200097
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: