Provider Demographics
NPI:1689644254
Name:SCHUERMANN, MATTHEW G (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:G
Last Name:SCHUERMANN
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 1:6239 CHEVIOT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-6122
Mailing Address - Country:US
Mailing Address - Phone:513-325-0398
Mailing Address - Fax:513-385-3952
Practice Address - Street 1:6239 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-6122
Practice Address - Country:US
Practice Address - Phone:513-325-0398
Practice Address - Fax:513-385-3952
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065398207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0162827Medicaid
OHP00254842OtherMEDICARE RAILROAD
OHP00254842OtherMEDICARE RAILROAD
OHSC0784346Medicare PIN