Active NPI
Scott A. Schroeder, D.P.M.
- Podiatrist
- Wenatchee, WA
National Provider Identifier
1124054911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000438
- Practice address
- 616 N Chelan Ave
Wenatchee, WA 98801-2025 - Phone
- (509) 662-2970
- Fax
- (509) 665-9808
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Podiatrist | 213ER0200X | PO00000438 | WA | |
| Foot Surgery Podiatrist | 213ES0131X | PO00000438 | WA | |
| Podiatrist | 213E00000X | PO00000438 | WA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO00000438 | WA |
Addresses
Primary practice location
616 N Chelan Ave
Wenatchee, WA 98801-2025
Mailing address
616 N Chelan Ave
Wenatchee, WA 98801-2025
Phone (509) 662-2970
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS9149 | Other | WA | PALMETTO GBA RAILROAD MEDICARE PART B |
| 0035677 | Other | WA | WA STATE LABOR AND INDUSTRY |
| 1057256 | Medicaid | WA | |
| 480015509 | Other | WA | PALMETTO GBA - RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO00000438 | WA | MD | Podiatrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Foot Health Services Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Wenatchee, WA
- NPI 1386861615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1124054911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012025",
"telephone_number": "509-662-2970",
"fax_number": "509-665-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012025",
"telephone_number": "509-662-2970",
"fax_number": "509-665-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "SCOTT",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "WA",
"license": "PO00000438",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "WA",
"license": "PO00000438",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000438",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO00000438",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD MEDICARE PART B",
"identifier": "CS9149",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LABOR AND INDUSTRY",
"identifier": "0035677",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1057256",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA - RAILROAD MEDICARE",
"identifier": "480015509",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.