Active NPI
Samuel Neuschwanger, D.P.M.
- Podiatrist
- Van Wert, OH
National Provider Identifier
1336139997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36002056
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0480519 | Medicaid | OH | |
| 480001126 | Other | OH | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2056 | OH | MD | Chiropractor |
| 36002056 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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.