NPIMap

Individual provider Active NPI

Kurt Schroer, D.O.

  • Family Medicine Physician
  • Marshall, MO
National Provider Identifier
1104288646
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021048841 Issued in MO
Practice address
2305 S Highway 65 BLDG a
Marshall, MO 65340-3702
Phone
(660) 886-7800
Fax
(660) 831-3328
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021048841 MO Primary

Addresses

Primary practice location

2305 S Highway 65 BLDG a
Marshall, MO 65340-3702

Mailing address

2305 S Highway 65 BLDG a
Marshall, MO 65340-3702
Phone (660) 886-7800

Other identifiers 2

IdentifierTypeStateIssuer
361198MedicaidOH
361198MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KurtSchroer@fitzgibbon.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119002335 MO Practitioner - Family Practice 3072841485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Fitzgibbon Memorial Hospital IncGroup PAC ID 2567351570, shared by 12 NPIs, 45 clinicians

Practice addresses (Care Compare)

2305 S 65 Hwy
Marshall, MO 65340-3702

2305 S Hwy 65
Marshall, MO 65340-3702

Hospital & facility affiliations

  • Elara Caring Home health agency, Jefferson City, MO, CCN 267600
  • Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2021048841MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc CurrentSince Apr 18, 2022 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc CurrentSince Apr 18, 2022 Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Apr 18, 2022 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients

Locations

815 E Broadway St
Brunswick, MO 65236
Phone (660) 548-3161

600 W Morrison St
Ste 5
Fayette, MO 65248
Phone (660) 248-2900

600 W Morrison St
Fayette, MO 65248
Phone (660) 248-2900

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

2303 S Highway 65
Ste A
Marshall, MO 65340
Phone (660) 831-1175

212 College St
Pilot Grove, MO 65276
Phone (660) 831-3728

420 W Front St
Slater, MO 65349
Phone (660) 529-2251

Interoperability endpoints

  • Direct secure messaging: kurtschroer@fitzgibbon.cernerdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1104288646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S HIGHWAY 65 BLDG A",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-886-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S HIGHWAY 65 BLDG A",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-886-7800",
            "fax_number": "660-831-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROER",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021048841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361198",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361198",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KurtSchroer@fitzgibbon.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Kurt Schoer Fitzgibbon Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2305 S Highway 65 Bldg A",
            "city": "Marshall",
            "state": "MO",
            "country_code": "US",
            "postal_code": "653403702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

Verify at the official NPI Registry.