Provider Demographics
NPI:1861490302
Name:JOLLIFF-SCHILTZ, WENDY E (PA)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:E
Last Name:JOLLIFF-SCHILTZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:E
Other - Last Name:JOLLIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1721 MEDICAL BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1354
Mailing Address - Country:US
Mailing Address - Phone:419-423-7663
Mailing Address - Fax:419-291-6430
Practice Address - Street 1:1721 MEDICAL BLVD STE C
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1354
Practice Address - Country:US
Practice Address - Phone:419-423-7663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.001436RX363A00000X
OH5001436363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0074296Medicaid
OH0074296Medicaid
OH75901Medicare PIN
OH970018182Medicare PIN