Healthcare Provider Details
I. General information
NPI: 1912566340
Provider Name (Legal Business Name): ASHLEY SCHUMACHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/10/2019
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
MERCY PEDIATRIC CLINIC 701 10TH STREET SE, LEVEL 4
CEDAR RAPIDS IA
52403
US
IV. Provider business mailing address
MERCY PEDIATRIC CLINIC 701 10TH STREET SE, LEVEL 4
CEDAR RAPIDS IA
52403
US
V. Phone/Fax
- Phone: 319-861-7900
- Fax: 319-861-7950
- Phone: 319-861-7900
- Fax: 319-861-7950
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD-49635 |
| License Number State | IA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: