Helmut J Jungschaffer, MD
Individual provider Active NPI Pediatrics Physician · Oberlin, OH
NPI 1295739282 · NPPES record last updated Jan 28, 2014
Key facts
- NPI
- 1295739282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 35060944 (OH)
- Practice address
- 224 W Lorain St
Ste E
Oberlin, OH 44074-1087 - Phone
- (440) 774-7337
- Fax
- (440) 774-7327
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35060944 | OH | Yes |
Addresses
Primary practice location
224 W Lorain St
Ste E
Oberlin, OH 44074-1087
Mailing address
PO Box 636643
Cincinnati, OH 45263-6643
Phone (440) 989-3801
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0236248 | Medicaid | OH | |
| 0816193 | Medicaid | OH | |
| 3025372 | Medicaid | OH |
Other providers in Oberlin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.