Provider Demographics
NPI:1306058946
Name:DAVID E. SCHLUETER, M.D, INC.
Entity type:Organization
Organization Name:DAVID E. SCHLUETER, M.D, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHLUETER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-891-2525
Mailing Address - Street 1:9500 KENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6180
Mailing Address - Country:US
Mailing Address - Phone:513-891-2525
Mailing Address - Fax:513-891-2529
Practice Address - Street 1:9500 KENWOOD RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-6180
Practice Address - Country:US
Practice Address - Phone:513-891-2525
Practice Address - Fax:513-891-2529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-038613-S207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA80161Medicare UPIN
OH9313701Medicare ID - Type Unspecified