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NPI Code Detail

MEDICARE: BARBARA SCHROEDER M.D.

MEDICARE: BARBARA 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
1207W00000XOphthalmology Physician01039063AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180011187OTHERINRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154329100
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA SCHROEDER M.D.
Provider Business Mailing Address
First Line : 3301 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5529
Country : US
Telephone Number : 260-422-3937
Fax Number : 260-424-6900
Provider Business Practice Location Address
First Line : 3301 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5529
Country : US
Telephone Number : 260-422-3937
Fax Number : 260-424-6900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 01/16/2009

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