Active NPI
Robert Schroeder
- Athletic Trainer
- Frostburg, MD
National Provider Identifier
1194139618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 101 Braddock Rd
Frostburg, MD 21532-2303 - Phone
- (301) 687-4092
- NPI assigned
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
101 Braddock Rd
Frostburg, MD 21532-2303
Mailing address
20 E Main St Apt 4
Frostburg, MD 21532-1337
Phone (302) 423-4692
Other practice location 1
100 Steffens Blvd
Camden, DE 19934-9652
Phone (302) 423-4692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1194139618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 E MAIN ST APT 4",
"city": "FROSTBURG",
"state": "MD",
"postal_code": "215321337",
"telephone_number": "302-423-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRADDOCK RD",
"city": "FROSTBURG",
"state": "MD",
"postal_code": "215322303",
"telephone_number": "301-687-4092"
}
],
"practiceLocations": [
{
"address_1": "100 Steffens Blvd",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "DE",
"postal_code": "199349652",
"country_code": "US",
"telephone_number": "302-423-4692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHROEDER",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-12",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frostburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.