Active NPI
Scheidler Medical Preferred, LLC
- General Practice Physician
- Hamilton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SCHEIDLER MEDICAL PREFERRED, LLC
- Practice address
- 543 Park Ave
Hamilton, OH 45013-3033 - Phone
- (513) 737-0257
- Fax
- (513) 737-3627
- NPI assigned
- Sep 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Hubbard
- Title
- Practice Manager
- Phone
- (513) 737-0257
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
543 Park Ave
Hamilton, OH 45013-3033
Mailing address
543 Park Ave
Hamilton, OH 45013-3033
Phone (513) 737-0257
Other practice location 1
1537 S Breiel Blvd
Middletown, OH 45044-6703
Phone (513) 425-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101002 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2074657 | Scheidler Medical Preferred LLC | Certificate of waiver | Mar 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
543 Park Ave
Hamilton, OH 45013
Phone (513) 737-0257
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hamilton, OH
- NPI 1649141672
-
- General Practice Physician
- Hamilton, OH
- NPI 1548243900
-
- Family Nurse Practitioner
- Hamilton, OH
- NPI 1376367722
-
- Psychiatric/Mental Health Registered Nurse
- Dublin, OH
- NPI 1194438788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625788800000",
"number": "1780935254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 PARK AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450133033",
"telephone_number": "513-737-0257",
"fax_number": "513-737-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 PARK AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450133033",
"telephone_number": "513-737-0257",
"fax_number": "513-737-3627"
}
],
"practiceLocations": [
{
"address_1": "1537 S Breiel Blvd",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450446703",
"country_code": "US",
"telephone_number": "513-425-8300",
"fax_number": "513-737-3627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SCHEIDLER MEDICAL PREFERRED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-25",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "HUBBARD",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "513-737-0257"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0101002",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.