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KEVIN R. SCHROEDER DPM NPI 1912950171


NPI Information

NPI: 1912950171
Provider Name: KEVIN R. SCHROEDER, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
3121 EVELYN DR
STE 120
BEAVERCREEK, OH
ZIP 45434
Phone: (937) 427-1175
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KEVIN R. SCHROEDER, DPM is a foot surgery podiatrist in Beavercreek, OH. KEVIN R. SCHROEDER, DPM NPI is 1912950171. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3121 EVELYN DR
STE 120
BEAVERCREEK, OH
ZIP 45434-309
Phone: (937) 427-1175
Fax: (937) 427-9494

The provider's authorized official is Kevin Raymond Schroeder .
The authorized official title is Owner and has the following contact phone number (937) 427-1175.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 3/10/2009.


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
1213ES0131XPodiatristFoot SurgeryYes

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
10752690MEDICAIDOHIO
25033000001MEDICARE NSCOHIO
3DG1728MEDICARE PINOHIO
49369851MEDICARE PINOHIO

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: 11/14/2023

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