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DR. KOREN SCHROEDER MD NPI 1881252898


NPI Information

NPI: 1881252898
Provider Name: DR. KOREN SCHROEDER, MD
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 719-3675
Get Directions

DR. Koren Schroeder, MD is a military health care provider in Camp Pendleton, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. Koren Schroeder, MD NPI is 1881252898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 719-3675
Fax: (760) 725-1101

The NPI 1881252898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 8/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0101270647VIRGINIANo
2208D00000XGeneral Practice0101270647VIRGINIANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4171000000XMilitary Health Care Provider0101270647VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VAD0000MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.