Kelly S Schroeder MD PC

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

KELLY S SCHROEDER MD PC

Practice address

9202 W Dodge Rd Ste 303
Omaha, NE 68114-3318

Phone

(402) 981-0985

NPI assigned

Feb 12, 2019

Last updated

Feb 12, 2019By 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

Kelly S Schroeder, MDNPI 1336365311

Title

Owner

Phone

(402) 981-0985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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.

• Kelly S. Schroeder, M.D.

  • Emergency Medicine Physician
  • Omaha, NE
  • NPI 1336365311
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1225594567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 W DODGE RD STE 303",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143318",
            "telephone_number": "402-981-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 W DODGE RD STE 303",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143318",
            "telephone_number": "402-981-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY S SCHROEDER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-981-0985",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trever Kellogg
• Hiba A Kellow, DDS
• Asriel Kellum
• Stephanie Kellum, LCSW
• Kelly Brown Counseling
• Markia Kelly-Hill
• Alexa Kelly
• Allena Kelly
• Ann Katherine Kelly, OTD, OTR/L
• Brian Thomas Kelly, M.D.

• Phlebology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Phlebology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.