Provider Demographics
NPI:1881814689
Name:HOWARD J SCHERTZINGER, MD, LLC
Entity Type:Organization
Organization Name:HOWARD J SCHERTZINGER, MD, LLC
Other - Org Name:DBA ADVANCED PAIN SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHERTZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-942-5800
Mailing Address - Street 1:8746 UNION CENTRE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4876
Mailing Address - Country:US
Mailing Address - Phone:513-942-5800
Mailing Address - Fax:513-942-0666
Practice Address - Street 1:8746 UNION CENTRE BLVD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4876
Practice Address - Country:US
Practice Address - Phone:513-942-5800
Practice Address - Fax:513-942-0666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-065311204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0925468Medicaid
OH0925468Medicaid
OH9327361Medicare ID - Type Unspecified