Individual provider Active NPI

William L Schlotterer, DO

  • Family Medicine Physician
  • Sandusky, OH
National Provider Identifier
1902889439
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34003224 Issued in OH
Practice address
1610 Cleveland Rd
Ste. 103
Sandusky, OH 44870-4374
Phone
(419) 625-7122
Fax
(419) 625-8149
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34003224 OH Primary

Addresses

Primary practice location

1610 Cleveland Rd
Ste. 103
Sandusky, OH 44870-4374

Mailing address

1610 Cleveland Rd
Ste. 103
Sandusky, OH 44870-4374
Phone (419) 625-7122

Other identifiers 4

IdentifierTypeStateIssuer
000000130558OtherOHANTHEM BLUE CROSS
0468319MedicaidOH
4090204OtherAETNA
P03259OtherHEALTHSCOPE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000383 OH Practitioner - Family Practice 2961422522 Practice locations: Sandusky, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34003224OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Ohio Medical Serv. 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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1902889439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CLEVELAND RD",
            "address_2": "STE. 103",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704374",
            "telephone_number": "419-625-7122",
            "fax_number": "419-625-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 CLEVELAND RD",
            "address_2": "STE. 103",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704374",
            "telephone_number": "419-625-7122",
            "fax_number": "419-625-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOTTERER",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000130558",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0468319",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4090204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSCOPE",
            "identifier": "P03259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.