Mark E. Schroeder M.D.PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME69073 Issued in FL

Legal business name

MARK E. SCHROEDER M.D.PA

Practice address

1005 College Blvd W
Suite C
Niceville, FL 32578-1053

Phone

(850) 678-3994

NPI assigned

Dec 9, 2010

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark E Schroeder, 8506783994NPI 1932174091

Title

President

Phone

(850) 678-3994

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edward Schroeder, M.D.

  • Internal Medicine Physician
  • Niceville, FL
  • NPI 1932174091
  Authorized official Same address or phone

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1134422389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE BLVD W",
            "address_2": "SUITE C",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781053",
            "telephone_number": "850-678-3994",
            "fax_number": "850-678-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE BLVD W",
            "address_2": "SUITE C",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781053",
            "telephone_number": "850-678-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. SCHROEDER M.D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-678-3994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "8506783994"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Maruzs Mallory, LMHC
• Season Manuel
• Alexandra Marchand
• Catherine Joan Marion, IMH
• Sarah Lynn Marion, LMHC, LMFT
• Mark S Harber MD LLC
• Mark S. Calkins, MD, PA.
• William Joseph Markowski, M.D.
• Gertrudis Alejandra Marrero, LCSW
• Rachel Alexandra Marshall, ARNP

• Internal Medicine Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.