MEDICARE: HARMONY R SCHROEDER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	M7450	ID
2	207V00000X	Obstetrics & Gynecology Physician	M7450	OH
3	207V00000X	Obstetrics & Gynecology Physician	MD61474775	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000010004627	OTHER	ID	REGENCE BLUE SHIELD OF ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	59709	OTHER	ID	BLUE CROSS OF ID
4	218583649	OTHER	ID	TRIWEST; MILITARY INS

General Provider Information

NPI Number	:	1104898550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARMONY R SCHROEDER MD

Provider Business Mailing Address
First Line	:	3520 E. LOUISE DR
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642
Country	:	US
Telephone Number	:	208-955-0350
Fax Number	:	208-955-0352

Provider Business Practice Location Address
First Line	:	4465 CORDATA PKWY STE 102
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-8037
Country	:	US
Telephone Number	:	360-752-5280
Fax Number	:	360-752-5282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	05/29/2024

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Directions to “ HARMONY R SCHROEDER MD” Practice Location

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