Provider Demographics
NPI:1316946791
Name:SCHWEITZER, EDMUND H JR (MD)
Entity type:Individual
Prefix:
First Name:EDMUND
Middle Name:H
Last Name:SCHWEITZER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10547 MONTGOMERY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4418
Mailing Address - Country:US
Mailing Address - Phone:513-791-6611
Mailing Address - Fax:513-791-6788
Practice Address - Street 1:10547 MONTGOMERY RD
Practice Address - Street 2:SUITE 400
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4418
Practice Address - Country:US
Practice Address - Phone:513-791-6611
Practice Address - Fax:513-791-6788
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-5089207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0353237Medicaid
C00021Medicare UPIN
OHSC0445883Medicare ID - Type Unspecified