Basic Information
| Provider Information | |||||||||
| NPI: | 1023000544 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHELLHAS | ||||||||
| FirstName: | HELMUT | ||||||||
| MiddleName: | F | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 635063 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452630001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138911006 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3219 CLIFTON AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452203027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138621888 | ||||||||
| FaxNumber: | 5138623616 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2005 | ||||||||
| LastUpdateDate: | 08/08/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 24791 | KY | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VX0201X | 35032949 | OH | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology | 174400000X | 24791 | KY | N | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 0168634 | 05 | OH | MEDICAID | 64761281 | 05 | KY | MEDICAID | 100011960 | 05 | IN | MEDICAID |