MEDICARE: TED J SCHOETTINGER 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
1	207Q00000X	Family Medicine Physician	35064418S	OH
2	207Q00000X	Family Medicine Physician	35.064418	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6441803	OTHER	OH	HUMANA
2	0103828	OTHER	OH	UHC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	000000335394	OTHER	OH	ANTHEM
6	4374020	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1972582799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TED J SCHOETTINGER MD

Provider Business Mailing Address
First Line	:	67 NUNNER RD
Second Line	:
City	:	MAINEVILLE
State	:	OH
Zip	:	45039
Country	:	US
Telephone Number	:	513-677-2405
Fax Number	:	513-677-0734

Provider Business Practice Location Address
First Line	:	67 NUNNER RD
Second Line	:
City	:	MAINEVILLE
State	:	OH
Zip	:	45039
Country	:	US
Telephone Number	:	513-677-2405
Fax Number	:	513-677-0734

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	01/28/2009

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Directions to “ TED J SCHOETTINGER MD” Practice Location

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