MEDICARE: ANN R SCHWENTKER M.D.

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	208200000X	Plastic Surgery Physician	35096842	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PAR	OTHER	VA	MULTIPLAN
2	PAR	OTHER	VA	CIGNA
3	-019	OTHER	VA	TRICARE/CHAMPUS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	PAR	OTHER	VA	AETNA
7	PAR	OTHER	VA	VA HEALTH NETWORK
8	PAR	OTHER	VA	FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
9	PAR	OTHER	VA	CORVEL/CORCARE
10	10047759	OTHER	VA	SENTARA OPTIMA HEALTH
11	PAR	OTHER	VA	USA MANAGED CARE
12	PAR	OTHER	VA	VA PREMIER HEALTH
13	PAR	OTHER	VA	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1780669226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN R SCHWENTKER M.D.

Provider Business Mailing Address
First Line	:	3333 BURNET AVE., ML 2020
Second Line	:	CINCINNATI CHILDREN'S HOSPITAL
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-636-7181
Fax Number	:	513-636-7182

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE., ML 2020
Second Line	:	CINCINNATI CHILDREN'S HOSPITAL
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-636-7181
Fax Number	:	513-636-7182

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

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	04/22/2011

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Directions to “ ANN R SCHWENTKER M.D.” Practice Location

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