Basic Information
| Provider Information | |||||||||
| NPI: | 1780669226 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWENTKER | ||||||||
| FirstName: | ANN | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3333 BURNET AVE., ML 2020 | ||||||||
| Address2: | CINCINNATI CHILDREN'S HOSPITAL | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452293039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136367181 | ||||||||
| FaxNumber: | 5136367182 | ||||||||
| Practice Location | |||||||||
| Address1: | 3333 BURNET AVE., ML 2020 | ||||||||
| Address2: | CINCINNATI CHILDREN'S HOSPITAL | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452293039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136367181 | ||||||||
| FaxNumber: | 5136367182 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2005 | ||||||||
| LastUpdateDate: | 04/22/2011 | ||||||||
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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 | 208200000X | 35096842 | OH | Y | Allopathic & Osteopathic Physicians | Plastic Surgery |
ID Information
| ID | Type | State | Issuer | Description | PAR | 01 | VA | MULTIPLAN | OTHER | PAR | 01 | VA | CIGNA | OTHER | -019 | 01 | VA | TRICARE/CHAMPUS | OTHER | 5912683 | 05 | NC | MEDICAID | 1780669226 | 05 | VA | MEDICAID | PAR | 01 | VA | AETNA | OTHER | PAR | 01 | VA | VA HEALTH NETWORK | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | OTHER | PAR | 01 | VA | CORVEL/CORCARE | OTHER | 10047759 | 01 | VA | SENTARA OPTIMA HEALTH | OTHER | PAR | 01 | VA | USA MANAGED CARE | OTHER | PAR | 01 | VA | VA PREMIER HEALTH | OTHER | PAR | 01 | VA | UNITED HEALTH CARE | OTHER |