Debra Beck Schroeck, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50. 002262 Issued in OH

Practice address

260 Stetson St
Suite 3200 ML 0516
Cincinnati, OH 45219-2492

Phone

(513) 558-0956

Fax

(513) 558-3399

NPI assigned

Jan 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Debra Ellen Beck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pastor Medical Group Doctors for Adults Inc

  • Internal Medicine Physician
  • Fairfield, OH
  • NPI 1447297312
  NPD (past)
• Cincinnati Health Care Group PSC

  • Ambulatory Surgical Clinic/Center
  • Crestview Hills, KY
  • NPI 1881616357
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1023296159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 STETSON ST",
            "address_2": "SUITE 3200 ML 0516",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192492",
            "telephone_number": "513-558-0956",
            "fax_number": "513-558-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 STETSON ST",
            "address_2": "SUITE 3200 ML 0516",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192492",
            "telephone_number": "513-558-0956",
            "fax_number": "513-558-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROECK",
        "first_name": "DEBRA",
        "middle_name": "BECK",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1099",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50. 002262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00866124",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00799583",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100088670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BECK",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John R Schroder, MD
• Melissa S Schroder, CNP
• Michele Schroder, CNP
• Paige Elizabeth Schroder, MD
• Vitoria Schrodi
• Alexandrea Schroeder
• Amanda Schroeder
• Beth Ann Schroeder, CDCA
• Brian J Schroeder, M.S. CCC-SLP
• Joanne Schroeder

• Physician Assistant in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.