Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO00000438 | WA |
Y | 222Z00000X | Podiatrist | PO00000438 | WA |
N | 111NR0200X | Radiology | PO00000438 | WA |
N | 213ER0200X | Radiology | PO00000438 | WA |
N | 213ES0103X | Foot & Ankle Surgery | PO00000438 | WA |
N | 213ES0131X | Foot Surgery | PO00000438 | WA |
NPI | 1124054911 |
---|---|
Provider Name | Dr. Scott A. Schroeder |
First Address | Wenatchee, WA 98801-2025 |
Second Address | Wenatchee, WA 98801-2025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 22/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0035677 | WA STATE LABOR AND INDUSTRY (01) | WA |
1057256 | (05) | WA |
480015509 | PALMETTO GBA - RAILROAD MEDICARE (01) | WA |
CS9149 | PALMETTO GBA RAILROAD MEDICARE PART B (01) | WA |
T93085 | (02) | WA |