Provider Demographics
NPI:1275529885
Name:SCHNELL, JOHN EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:SCHNELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 41220
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-0220
Mailing Address - Country:US
Mailing Address - Phone:440-846-6260
Mailing Address - Fax:877-278-3280
Practice Address - Street 1:14755 PEARL RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-5026
Practice Address - Country:US
Practice Address - Phone:440-846-6260
Practice Address - Fax:877-278-3280
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2022-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35062277-S2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH250009969OtherRR MEDICARE
OH2859036Medicaid
OH2859036Medicaid
OHSC4226601Medicare PIN