Doc Schroeder Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7881 Issued in FL

Legal business name

DOC SCHROEDER INC

Doing business as

Back Pain Relief Clinic

Practice address

3962 5TH Ave N
St Petersburg, FL 33713-7523

Phone

(727) 327-1717

Fax

(727) 322-9827

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Rhonda H. Schroeder, DCNPI 1043230006

Title

Owner/Physician

Phone

(727) 327-1717

Specialties & licenses 1

Addresses

Other names 1

• Back Pain Relief Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Rhonda Hazel Schroeder, D.C

  • Chiropractor
  • St Petersburg, FL
  • NPI 1043230006
  Medicare reassignment NPD Authorized official
• Cindy Leigh Perkins, D.C.

  • Chiropractor
  • Lutz, FL
  • NPI 1437213576
  NPD (past)

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1114231040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3962 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137523",
            "telephone_number": "727-327-1717",
            "fax_number": "727-322-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3962 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137523",
            "telephone_number": "727-327-1717",
            "fax_number": "727-322-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC SCHROEDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "727-327-1717",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Pain Relief Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.