Schroeder Surgical Assisting LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

SCHROEDER SURGICAL ASSISTING LLC

Practice address

625 E Broadway Ave
Jackson, WY 83001-8642

Phone

(208) 525-2090

Fax

(208) 523-8978

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Philip Schroeder, CST CSFANPI 1235271107

Title

Owner

Phone

(208) 525-2090

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Philip Schroeder, SA-C

  • Surgical Technologist
  • Jackson, WY
  • NPI 1235271107
  NPD (past) Authorized official

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1104370337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9193",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830029193",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E BROADWAY AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018642",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHROEDER SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-525-2090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CST CSFA"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauraq Elise Santomauro, MFT
• Kevin Sanville, MD
• Calvin P Schenk, PA
• Susanne M Schenk, RN, CDE
• Cassidy Schneider, RBT
• Christopher Philip Schroeder, SA-C
• Mark Schultheis, P.T., S.C.S.C.
• Joanne Scott, RN
• Cara Anne Sengebush
• Senior Center of Jackson Hole, Inc.

• Other Specialist/Technologist in Jackson, WY
• Providers in Jackson, WY by specialty
• Other Specialist/Technologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.