Basic Information
| Provider Information | |||||||||
| NPI: | 1447247408 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHNEIDER | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5672 LOCH BROOM CIR | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430179487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6147938962 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6955 PERIMETER LOOP RD | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430168580 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6149230300 | ||||||||
| FaxNumber: | 6149230400 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2005 | ||||||||
| LastUpdateDate: | 11/13/2007 | ||||||||
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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 | 207P00000X | 35043833S | OH | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | P00081469 | 01 | OH | RAILROAD MEDICARE/ADENA | OTHER | 0412226 | 05 | OH | MEDICAID | 000000319945 | 01 | OH | BC/BS-ADENA | OTHER | 000000316759 | 01 | OH | BC/BS BERGER | OTHER | 000000315476 | 01 | OH | BC/BS-MEMORIAL | OTHER |