MEDICARE: DR. JOEL D. SCHWARTZ D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	36-00-1440-S	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134124498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL D. SCHWARTZ D.P.M.

Provider Business Mailing Address
First Line	:	5373 KILBOURNE DR
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-3744
Country	:	US
Telephone Number	:	440-461-0074
Fax Number	:	330-425-0702

Provider Business Practice Location Address
First Line	:	8984 DARROW RD STE 2
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-2186
Country	:	US
Telephone Number	:	330-425-4888
Fax Number	:	330-425-0702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	06/29/2012

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