MEDICARE: AUGUST MARTIN SCHWARTZ PA

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	363A00000X	Physician Assistant	50000081	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	:	1770518631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUGUST MARTIN SCHWARTZ PA

Provider Business Mailing Address
First Line	:	3381 FIR TREE LN
Second Line	:
City	:	ERLANGER
State	:	KY
Zip	:	41018-1211
Country	:	US
Telephone Number	:	859-371-6162
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 PROGRESS PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-1715
Country	:	US
Telephone Number	:	513-346-5000
Fax Number	:	513-671-8348

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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