Provider Demographics
NPI:1861490203
Name:SCHIFFER, RENATE J (MD)
Entity Type:Individual
Prefix:
First Name:RENATE
Middle Name:J
Last Name:SCHIFFER
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:DEPT 1044
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-1044
Mailing Address - Country:US
Mailing Address - Phone:513-559-2723
Mailing Address - Fax:
Practice Address - Street 1:415 STRAIGHT ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-1060
Practice Address - Country:US
Practice Address - Phone:513-559-2723
Practice Address - Fax:513-559-2769
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35036911207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64039324Medicaid
OH0299467Medicaid
OH0299467Medicaid
OH0417874Medicare PIN
OH110206475Medicare PIN