Organization Active NPI

Jay S. Schroeder MD LTD.

  • Internal Medicine Physician
  • Reno, NV
National Provider Identifier
1124221353
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7451 Issued in NV
Legal business name
JAY S. SCHROEDER MD LTD.
Practice address
10627 Professional Cir
Reno, NV 89521-5847
Phone
(775) 853-7997
Fax
(775) 853-7984
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Jay S Schroeder, M.D.
Title
Owner
Phone
(775) 853-7997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 7451 NV Primary

Addresses

Primary practice location

10627 Professional Cir
Reno, NV 89521-5847

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

National Provider Directory

National Provider Directory

Locations

18653 Wedge Pkwy
Ste 120
Reno, NV 89511
Phone (775) 853-7997

10627 Professional Cir
Reno, NV 89521
Phone (775) 853-7997

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1124221353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-326-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10627 PROFESSIONAL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215847",
            "telephone_number": "775-853-7997",
            "fax_number": "775-853-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY S. SCHROEDER MD LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-853-7997",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "7451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.