Provider Demographics
NPI:1053426932
Name:SCHWARZE, KARL D (MD)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:D
Last Name:SCHWARZE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PARK WEST BLVD
Mailing Address - Street 2:STE 270
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-4231
Mailing Address - Country:US
Mailing Address - Phone:330-344-6072
Mailing Address - Fax:330-344-6447
Practice Address - Street 1:1 PARK WEST BLVD STE 270
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320
Practice Address - Country:US
Practice Address - Phone:234-312-9318
Practice Address - Fax:330-234-9322
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH058381174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000129552OtherANTHEM
OH2322208001OtherCIGNA
OH3100080OtherUNITED HEALTHCARE
OH53553OtherQUALCHOICE
OH0746821Medicaid
OHP00130595OtherRAIL ROAD MEDICARE
OH53553OtherQUALCHOICE
OH0746821Medicaid