Provider Demographics
NPI:1053300947
Name:SCHNEIDER, RONALD C (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:C
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-6005
Mailing Address - Country:US
Mailing Address - Phone:513-981-4214
Mailing Address - Fax:513-981-4226
Practice Address - Street 1:610 HIGH ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-6005
Practice Address - Country:US
Practice Address - Phone:513-981-4214
Practice Address - Fax:513-981-4226
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35037400207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0356725Medicaid
OH0356725Medicaid
OH0412573Medicare ID - Type Unspecified