Individual
MARTIN SCHEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WALTER SCHOLER DR, LAFAYETTE, IN 47909-6303
(765) 448-8000
(765) 448-8257
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056790A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000248369
ANTHEM PROVIDER NUMBER
IN
01
—
11154391
CAQH NUMBER
IN
05
—
200404280
—
IN
01
—
9195356
PHCS PID NUMBER
IN
Enumeration date
03/21/2006
Last updated
02/24/2021
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