Provider Demographics
NPI:1740210749
Name:NEUENSCHWANDER, JAMES F II (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:NEUENSCHWANDER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:F
Other - Last Name:NEUENSCHWANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1330 COSHOCTON RD
Mailing Address - Street 2:KNOX COMMUNITY HOSPITAL
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-1440
Mailing Address - Country:US
Mailing Address - Phone:614-293-8305
Mailing Address - Fax:614-293-3124
Practice Address - Street 1:1330 COSHOCTON RD
Practice Address - Street 2:KNOX COMMUNITY HOSPITAL
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-1440
Practice Address - Country:US
Practice Address - Phone:740-393-9714
Practice Address - Fax:740-399-3139
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207P00000X207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810019136Medicaid
OH2069185Medicaid
OHNEO853191Medicare ID - Type Unspecified
WV3810019136Medicaid
OH2069185Medicaid
OH4260713Medicare PIN
OH0853196Medicare PIN
OH0853199Medicare PIN