Provider Demographics
NPI:1679795041
Name:SCHEIDLER, JOSEPH S (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:SCHEIDLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 SIARON WAY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2684
Mailing Address - Country:US
Mailing Address - Phone:513-563-6222
Mailing Address - Fax:513-563-2476
Practice Address - Street 1:3515 SIARON WAY
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-2684
Practice Address - Country:US
Practice Address - Phone:513-563-6222
Practice Address - Fax:513-563-2476
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-4803207XP3100X
OH34004803207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0975379Medicaid
OH3160707Medicaid
OH3160707Medicaid
OH0763682Medicare PIN
OHH285042Medicare PIN
OH0975379Medicaid