MEDICARE: MS. DARIA SCHOOLER 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	174400000X	Specialist	01041084	IN
2	207T00000X	Neurological Surgery Physician	010410814A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000076601	OTHER	IN	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1972506459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DARIA SCHOOLER MD

Provider Business Mailing Address
First Line	:	P O BOX 3007
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47202-3007
Country	:	US
Telephone Number	:	812-375-0000
Fax Number	:	812-375-0711

Provider Business Practice Location Address
First Line	:	2675 FOX POINTE DRIVE
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203
Country	:	US
Telephone Number	:	812-375-0000
Fax Number	:	812-375-0711

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	01/15/2010

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