Provider Demographics
NPI:1003226770
Name:SCHELER, MAGGIE (AA)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:SCHELER
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 FAIRFIELD AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:BELLEVUE
Mailing Address - State:KY
Mailing Address - Zip Code:41073-3484
Mailing Address - Country:US
Mailing Address - Phone:502-641-8996
Mailing Address - Fax:
Practice Address - Street 1:2139 AUBURN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-585-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-04
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1683367H00000X
OH67000263367H00000X
IN75000010A367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant