Provider Demographics
NPI:1750395299
Name:SCHEIDLER, DAVID M (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:SCHEIDLER
Suffix:
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 1:679 E COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1049
Mailing Address - Country:US
Mailing Address - Phone:317-890-2000
Mailing Address - Fax:317-859-4269
Practice Address - Street 1:14300 E 138TH ST., BLDG A
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-0087
Practice Address - Country:US
Practice Address - Phone:317-890-2000
Practice Address - Fax:317-813-1667
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038397A208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000091695OtherANTHEM PROVIDER NUMBER
IN200003650Medicaid
IN000000091695OtherANTHEM PROVIDER NUMBER
IN1487680518OtherGROUP NPI NUMBER
IN200003650Medicaid
IN340015551OtherMEDICARE RAILROAD
IN200003650Medicaid
INE48267Medicare UPIN
IN000000091695OtherANTHEM PROVIDER NUMBER
IN160060AMedicare PIN
IN100194370OtherMEDICAID GROUP NUMBER