Provider Demographics
NPI:1871584680
Name:SCHILLING, MICHAEL RAY (DPM)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:RAY
Last Name:SCHILLING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:981 STATE ROAD 46 E STE B
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-7630
Mailing Address - Country:US
Mailing Address - Phone:812-934-3993
Mailing Address - Fax:812-932-3993
Practice Address - Street 1:981 STATE ROAD 46 E STE B
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-7630
Practice Address - Country:US
Practice Address - Phone:812-934-3993
Practice Address - Fax:812-932-3993
Is Sole Proprietor?:No
Enumeration Date:2005-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000444213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100098480Medicaid
IN100098480Medicaid
IN180740AMedicare PIN
IN0227850001Medicare NSC