Provider Demographics
NPI:1780669226
Name:SCHWENTKER, ANN R (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:R
Last Name:SCHWENTKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE., ML 2020
Mailing Address - Street 2:CINCINNATI CHILDREN'S HOSPITAL
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-636-7181
Mailing Address - Fax:513-636-7182
Practice Address - Street 1:3333 BURNET AVE., ML 2020
Practice Address - Street 2:CINCINNATI CHILDREN'S HOSPITAL
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-636-7181
Practice Address - Fax:513-636-7182
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35096842208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherMULTIPLAN
VAPAROtherCIGNA
VA-019OtherTRICARE/CHAMPUS
NC5912683Medicaid
VA1780669226Medicaid
VAPAROtherAETNA
VAPAROtherVA HEALTH NETWORK
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherCORVEL/CORCARE
VA10047759OtherSENTARA OPTIMA HEALTH
VAPAROtherUSA MANAGED CARE
VAPAROtherVA PREMIER HEALTH
VAPAROtherUNITED HEALTH CARE
VAPAROtherUNITED HEALTH CARE
VA10047759OtherSENTARA OPTIMA HEALTH
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY