NPIMap

Individual provider Active NPI

Ted J Schoettinger, MD

  • Family Medicine Physician
  • Maineville, OH
National Provider Identifier
1972582799
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.064418 Issued in OH
Practice address
67 Nunner Rd
Maineville, OH 45039
Phone
(513) 677-2405
Fax
(513) 677-0734
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35064418S OH
Family Medicine Physician 207Q00000X 35.064418 OH Primary

Addresses

Primary practice location

67 Nunner Rd
Maineville, OH 45039

Mailing address

67 Nunner Rd
Maineville, OH 45039
Phone (513) 677-2405

Other identifiers 6

IdentifierTypeStateIssuer
6441803OtherOHHUMANA
0103828OtherOHUHC
0979133MedicaidOH
1575148MedicaidOH
000000335394OtherOHANTHEM
4374020OtherOHAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000666 OH Practitioner - Family Practice 2567443955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maineville Family Physicians IncGroup PAC ID 1153410642, 2 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

67 Nunner Rd
Mainesville, OH 45039-9632
Phone (513) 677-2405

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions76
Removal of nail tissue1-10
Removal or shaving of skin growth32
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.064418OHMDFamily Medicine Physician
35064418SOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maineville Family Physicians Inc Family Medicine CurrentSince Jan 1, 2008 Accepting new patients

Locations

67 Nunner Rd
Maineville, OH 45039
Phone (513) 677-2405

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1972582799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 NUNNER RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-677-2405",
            "fax_number": "513-677-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 NUNNER RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-677-2405",
            "fax_number": "513-677-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOETTINGER",
        "first_name": "TED",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35064418S",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.064418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6441803",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0103828",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0979133",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575148",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000335394",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4374020",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

Verify at the official NPI Registry.