Provider Demographics
NPI:1528044799
Name:SCHEUFLER, STEVEN GRANT (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:GRANT
Last Name:SCHEUFLER
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 1:6724 WALES AVE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-9006
Mailing Address - Country:US
Mailing Address - Phone:330-837-4264
Mailing Address - Fax:330-837-9195
Practice Address - Street 1:6724 WALES AVE NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-9006
Practice Address - Country:US
Practice Address - Phone:330-837-4264
Practice Address - Fax:330-837-9195
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065189S207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH080056051OtherRAILROAD MEDICARE NUMBER
OH0936214Medicaid
OHSC0740863Medicare PIN
OH0936214Medicaid