Provider Demographics
NPI:1073565917
Name:SCHEINFELD, BEN A (MD)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:A
Last Name:SCHEINFELD
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 1:19020 FORT ST
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-6701
Mailing Address - Country:US
Mailing Address - Phone:734-362-5100
Mailing Address - Fax:734-362-5147
Practice Address - Street 1:400 MATTHEW ST STE 201
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1656
Practice Address - Country:US
Practice Address - Phone:740-568-4590
Practice Address - Fax:740-568-4592
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.138267207RG0100X
MI4301069020207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301069020OtherPHYSICIAN LICENSE
MICC3713OtherRR MEDICARE
MI125206OtherMERCY CARE CHOICES
MI0814274OtherCIGNA
MIC4919OtherMCARE
MI3312745Medicaid
MI5829574OtherAETNA
MI1460589OtherUHC
MI700H21076OtherBCBSM
MI700H21076OtherBCBSM
MI0814274OtherCIGNA
MI0M17170011Medicare ID - Type Unspecified