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NPI Code Detail

MEDICARE: DR. STEVEN A POTTSCHMIDT MD

MEDICARE: DR. STEVEN A POTTSCHMIDT MD
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
1207Q00000XFamily Medicine Physician35.062309OH

Other Identifiers

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

General Provider Information

NPI Number : 1912901745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN A POTTSCHMIDT MD
Provider Business Mailing Address
First Line : 506 W MAIN ST
Second Line :
City : LOUISVILLE
State : OH
Zip : 44641-1310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3574 CENTER RD
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-3618
Country : US
Telephone Number : 330-225-8886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 09/20/2021

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