Individual provider Active NPI

Samuel Neuschwanger, D.P.M.

  • Podiatrist
  • Van Wert, OH
National Provider Identifier
1336139997
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002056 Issued in OH
Practice address
1175 Westwood Dr
Suite 201
Van Wert, OH 45891-2464
Phone
(419) 238-3570
Fax
(419) 238-0366
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002056 OH Primary

Addresses

Primary practice location

1175 Westwood Dr
Suite 201
Van Wert, OH 45891-2464

Mailing address

1250 S Washington St
Van Wert, OH 45891-2551
Phone (419) 232-5279

Other identifiers 2

IdentifierTypeStateIssuer
0480519MedicaidOH
480001126OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2056OHMDChiropractor
36002056OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1336139997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S WASHINGTON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912551",
            "telephone_number": "419-232-5279",
            "fax_number": "419-232-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 WESTWOOD DR",
            "address_2": "SUITE 201",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-238-3570",
            "fax_number": "419-238-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSCHWANGER",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480519",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480001126",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.