Provider Demographics
NPI:1447247408
Name:SCHNEIDER, STEVEN M (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5672 LOCH BROOM CIR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-9487
Mailing Address - Country:US
Mailing Address - Phone:614-793-8962
Mailing Address - Fax:
Practice Address - Street 1:6955 PERIMETER LOOP RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8580
Practice Address - Country:US
Practice Address - Phone:614-923-0300
Practice Address - Fax:614-923-0400
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35043833S207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00081469OtherRAILROAD MEDICARE/ADENA
OH0412226Medicaid
OH000000319945OtherBC/BS-ADENA
OH000000316759OtherBC/BS BERGER
OH000000315476OtherBC/BS-MEMORIAL
OH0412226Medicaid
OHSC4053735Medicare PIN
OHSC4053737Medicare PIN
C01735Medicare UPIN
SC0848144Medicare PIN