Active NPI
Joan Ellen Schiller, DPM
- Podiatrist
- Euclid, OH
National Provider Identifier
1770594467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36002525S
- Practice address
- 18599 Lake Shore Blvd
Siute 300
Euclid, OH 44119-1093 - Phone
- (216) 383-6090
- Fax
- (216) 383-5371
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- 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 | 36002525S | OH | Primary |
Addresses
Primary practice location
18599 Lake Shore Blvd
Siute 300
Euclid, OH 44119-1093
Mailing address
18599 Lake Shore Blvd
Siute 600
Euclid, OH 44119-1093
Phone (216) 383-6090
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341768928 | Other | OH | FEDERAL TAX ID |
| 36002525S | Other | OH | OHIO PODIATRY LICENCE |
| 425384190 | Other | OH | DME |
| 4252980014 | Other | DME | |
| E0627666 | Other | OH | PIN |
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 |
|---|---|---|---|
| 36002525S | OH | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1770594467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18599 LAKE SHORE BLVD",
"address_2": "SIUTE 600",
"city": "EUCLID",
"state": "OH",
"postal_code": "441191093",
"telephone_number": "216-383-6090",
"fax_number": "216-383-5371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18599 LAKE SHORE BLVD",
"address_2": "SIUTE 300",
"city": "EUCLID",
"state": "OH",
"postal_code": "441191093",
"telephone_number": "216-383-6090",
"fax_number": "216-383-5371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLER",
"first_name": "JOAN",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36002525S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "341768928",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO PODIATRY LICENCE",
"identifier": "36002525S",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "425384190",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "4252980014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "E0627666",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.