Provider Demographics
NPI:1841284692
Name:SCHWEIN, JEFFREY O (DPM)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:O
Last Name:SCHWEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-2064
Mailing Address - Country:US
Mailing Address - Phone:419-524-6772
Mailing Address - Fax:419-524-3134
Practice Address - Street 1:377 MARION AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-2064
Practice Address - Country:US
Practice Address - Phone:419-524-6772
Practice Address - Fax:419-524-3134
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-2661-S213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH735553OtherBUCKEYE
OH9560701OtherCIGNA
000000193862OtherUNISON
OH341834383027OtherCARESOURCE
OH5460091OtherAETNA
OH0864060Medicaid
OH27-80068OtherUNITED HEALTH CARE
OH000000139987OtherANTHEM BC/BS
OH480032373OtherRR MEDICARE
OH735553OtherBUCKEYE
OH480032373OtherRR MEDICARE