Individual provider Active NPI

Connie Ruth Schroder, D.C.

  • Chiropractor
  • Duncan Falls, OH
National Provider Identifier
1376536227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
392 Issued in OH
Practice address
497 North St
Duncan Falls, OH 43734-9729
Phone
(740) 674-6344
Fax
(740) 674-6344
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 392 OH Primary

Addresses

Primary practice location

497 North St
Duncan Falls, OH 43734-9729

Mailing address

497 North St
Duncan Falls, OH 43734-9729
Phone (740) 674-6344

Other identifiers 2

IdentifierTypeStateIssuer
0576087MedicaidOH
000000117579OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000042 OH Practitioner - Chiropractic 1759371917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D-C Chiropractic Health Center IncGroup PAC ID 1254321409, 2 clinicians

Practice addresses (Care Compare)

497 N St
Duncan Falls, OH 43734-9729
Phone (740) 674-6344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
392OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
D-C Chiropractic Health Center Inc Chiropractor CurrentSince Jan 1, 1987 Accepting new patients
Pain Relief Neuro Center Inc PastSince Nov 14, 2019 Accepting new patients

Locations

497 North St
Duncan Falls, OH 43734
Phone (740) 614-6344

300 Main St
Zanesville, OH 43701
Phone (740) 454-1747

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376536227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 NORTH ST",
            "city": "DUNCAN FALLS",
            "state": "OH",
            "postal_code": "437349729",
            "telephone_number": "740-674-6344",
            "fax_number": "740-674-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 NORTH ST",
            "city": "DUNCAN FALLS",
            "state": "OH",
            "postal_code": "437349729",
            "telephone_number": "740-674-6344",
            "fax_number": "740-674-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRODER",
        "first_name": "CONNIE",
        "middle_name": "RUTH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0576087",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000117579",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.