Provider Demographics
NPI:1093823650
Name:SCHILLING, STUART R (DPM)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:R
Last Name:SCHILLING
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:5969 E BROAD ST
Mailing Address - Street 2:STE 407
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1540
Mailing Address - Country:US
Mailing Address - Phone:614-755-2290
Mailing Address - Fax:614-755-6390
Practice Address - Street 1:4041 N. HIGH ST.
Practice Address - Street 2:STE. 101
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214
Practice Address - Country:US
Practice Address - Phone:614-267-4917
Practice Address - Fax:614-267-8611
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2021-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH1533213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0169124Medicaid
OH5020780001Medicare NSC
OH0362672Medicare PIN