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NPI Code Detail

MEDICARE: DR. KEVIN LEE SCHROEDER M.D.

MEDICARE: DR. KEVIN LEE SCHROEDER M.D.
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
1174400000XSpecialist35075154SOH
2207RN0300XNephrology Physician35075154SOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982662078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN LEE SCHROEDER M.D.
Provider Business Mailing Address
First Line : 929 JASONWAY AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2464
Country : US
Telephone Number : 614-538-2250
Fax Number : 614-538-2256
Provider Business Practice Location Address
First Line : 929 JASONWAY AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2464
Country : US
Telephone Number : 614-538-2250
Fax Number : 614-538-2256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 08/06/2014

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