Provider Demographics
NPI:1922126101
Name:SCHAMEL, REBECCA S (PA-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:S
Last Name:SCHAMEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 IBOLD RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6925
Mailing Address - Country:US
Mailing Address - Phone:513-248-4583
Mailing Address - Fax:
Practice Address - Street 1:2960 MACK RD
Practice Address - Street 2:SUITE 210
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5373
Practice Address - Country:US
Practice Address - Phone:513-860-2777
Practice Address - Fax:513-860-9507
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50001674363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical