MEDICARE: JAMES K SCHROEDER MD PC

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	2080P0202X	Pediatric Cardiology Physician	26756	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1972536860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES K SCHROEDER MD PC

Provider Business Mailing Address
First Line	:	425 PATTERSON RD
Second Line	:	SUITE 603
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1953
Country	:	US
Telephone Number	:	970-241-9694
Fax Number	:	970-242-5021

Provider Business Practice Location Address
First Line	:	425 PATTERSON RD
Second Line	:	SUITE 603
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1953
Country	:	US
Telephone Number	:	970-241-9694
Fax Number	:	970-242-5021

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES K SCHROEDER
Credential	:	MD
Telephone Number	:	970-241-9694

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	08/22/2020

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