Provider Demographics
NPI:1881903722
Name:SCHWEICHLER, JASON MICHAEL (DO)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:MICHAEL
Last Name:SCHWEICHLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3631 PENNS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SPRING MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16875-8011
Mailing Address - Country:US
Mailing Address - Phone:814-422-8873
Mailing Address - Fax:814-422-8037
Practice Address - Street 1:3631 PENNS VALLEY RD
Practice Address - Street 2:
Practice Address - City:SPRING MILLS
Practice Address - State:PA
Practice Address - Zip Code:16875-8011
Practice Address - Country:US
Practice Address - Phone:814-422-8873
Practice Address - Fax:814-422-8037
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016341207Q00000X
PAOT013792207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028818000003Medicaid
PA1757034OtherCIGNA
PAP01342227OtherRAILROAD MEDICARE
PA789921OtherUPMC
PA2891912OtherHIGHMARK
PA30176968OtherAMERIHEALTH MERCY LINESVILLE
PA1028818000002Medicaid
PA4959597OtherAETNA
PA30177462OtherAMERIHEALTH MERCY MEADVILLE
PA25-1754199OtherINTERGROUP
PA25-1754199OtherVANTAGE
PA25-1754199OtherDEVON
PA25-1754199OtherUNITED HEALTHCARE
PASSN-00OtherOHIO BWC
PA1028818000003Medicaid