Basic Information
| Provider Information | |||||||||
| NPI: | 1053555946 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SCHONDELMEYER | ||||||||
| FirstName: | AMANDA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3333 BURNET AVE | ||||||||
| Address2: | ML 5018 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452293039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136364315 | ||||||||
| FaxNumber: | 5136366567 | ||||||||
| Practice Location | |||||||||
| Address1: | 3333 BURNET AVE | ||||||||
| Address2: | ML 3016 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452293039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136364588 | ||||||||
| FaxNumber: | 5136360345 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2009 | ||||||||
| LastUpdateDate: | 01/09/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 35.099659 | OH | N | Allopathic & Osteopathic Physicians | Hospitalist | 208000000X | 35.099659 | OH | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.