Basic Information
Provider Information
NPI: 1215903737
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWARTZ
FirstName: DAVID
MiddleName: B
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 637201
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452630001
CountryCode: US
TelephoneNumber: 5138437632
FaxNumber: 5138437945
Practice Location
Address1: 2123 AUBURN AVE
Address2: STE 320
City: CINCINNATI
State: OH
PostalCode: 452192906
CountryCode: US
TelephoneNumber: 5132414223
FaxNumber: 5132414228
Other Information
ProviderEnumerationDate: 02/24/2006
LastUpdateDate: 07/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X35-043742OHY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
048249105OH MEDICAID
100336040 B05IN MEDICAID
6478299805KY MEDICAID
P0001701901OHRAILROAD MEDICAREOTHER


Home