Roger a. Schroeder MD SC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

036065715 Issued in IL

Legal business name

ROGER A. SCHROEDER MD SC

Practice address

727 9TH St
Carrollton, IL 62016-1427

Phone

(217) 942-6006

Fax

(217) 942-6008

NPI assigned

Apr 27, 2015

Last updated

May 5, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roger A. Schroeder, M.D.NPI 1063496750

Title

Owner

Phone

(618) 498-6314

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger A Schroeder, MD

  • Obstetrics Physician
  • Jerseyville, IL
  • NPI 1063496750
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1013394279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 EAGLE CT",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620523593",
            "telephone_number": "618-498-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 9TH ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161427",
            "telephone_number": "217-942-6006",
            "fax_number": "217-942-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER A. SCHROEDER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-498-6314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036065715",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036065715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Plus Inc
• Mandy Lee Pohlman, MS-CCC/SLP
• Carley Pyatt
• Dawn Marie Ricklefs, OTR/L
• Ethan Ridenour, COTA/L
• Allison N Sagez, FNP-C
• Laureca Schofield
• Gulam M. T. Siddiqui, M. D.
• Mohammed W Siddiqui, M.D.
• Jonnelle D Smith, PA

• Gynecology Physician in Carrollton, IL
• Providers in Carrollton, IL by specialty
• Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.