Provider Demographics
NPI:1720339286
Name:SCHEIDLER HEALTH ASSOCIATES LLC
Entity Type:Organization
Organization Name:SCHEIDLER HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHEIDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:513-737-1500
Mailing Address - Street 1:3515 SIARON WAY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2684
Mailing Address - Country:US
Mailing Address - Phone:513-737-1500
Mailing Address - Fax:513-737-0255
Practice Address - Street 1:3515 SIARON WAY
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-2684
Practice Address - Country:US
Practice Address - Phone:513-737-1500
Practice Address - Fax:513-737-0255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0093671Medicaid
OHDV3996Medicare PIN
OHH226350Medicare PIN