Provider Demographics
NPI:1972579480
Name:SCHULTZ, RAYMOND A (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:A
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5340 RAPID RUN RD
Mailing Address - Street 2:STE 2
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4260
Mailing Address - Country:US
Mailing Address - Phone:513-891-2813
Mailing Address - Fax:513-793-1032
Practice Address - Street 1:5340 RAPID RUN RD
Practice Address - Street 2:STE 2
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-4260
Practice Address - Country:US
Practice Address - Phone:513-922-2590
Practice Address - Fax:513-922-8299
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2018-12-28
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Provider Licenses
StateLicense IDTaxonomies
OH35-039886207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0405725Medicaid
OH791183566OtherRR MEDICARE
OH791183566OtherRR MEDICARE
OH0466192Medicare PIN