Organization Active NPI

Scheidler Medical Preferred, LLC

  • General Practice Physician
  • Hamilton, OH
National Provider Identifier
1780935254
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Kathy HubbardNPI 1194438788
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0101002MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140521001845 OH Part B Supplier - Clinic/Group Practice 5698998565 Receives reassigned benefits from 3 practitioners
Practice locations: Hamilton, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2074657Scheidler Medical Preferred LLC543 Park Ave, Hamilton, OH 45013Certificate of waiverMar 12, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.