Individual provider Active NPI

Jason L Schroeder, MD

  • Neurological Surgery Physician
  • Toledo, OH
National Provider Identifier
1427265370
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35091534 Issued in OH
Practice address
1325 Conference Dr
Toledo, OH 43614-8009
Phone
(419) 383-6644
Fax
(419) 383-2924
NPI assigned
May 17, 2007
Last updated
May 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35091534 OH Primary

Addresses

Primary practice location

1325 Conference Dr
Toledo, OH 43614-8009

Mailing address

3355 Glendale Ave FL 3
Toledo, OH 43614-2426
Phone (419) 383-6644

Other practice location 1

2130 W Central Ave Ste 201
Toledo, OH 43606-3819
Phone (419) 291-3900

Other identifiers 2

IdentifierTypeStateIssuer
P00703103OtherRAILROAD CARE
2860015MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080617000778 OH Practitioner - Neurosurgery 5496842817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

1325 Conference Dr
Toledo, OH 43614-8009
Phone (419) 383-6644

2130 W Central Ave
Toledo, OH 43606-3834
Phone (419) 291-4590

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion85
Laminectomy or laminotomy (partial removal of spine bones)35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Apr 24, 2018 Accepting new patients
Promedica Central Physicians CurrentSince Apr 24, 2018 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
University of Toledo Physicians LLC CurrentSince Nov 1, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L4189
Columbus, OH 43260

1325 Conference Dr
Toledo, OH 43614
Phone (419) 383-4541

1325 Conference Dr
Ste 1010AV
Toledo, OH 43614

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2130 W Central Ave
Toledo, OH 43606
Phone (419) 291-4590

2130 W Central Ave
Ste 201
Toledo, OH 43606
Phone (419) 291-0396

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

Interoperability endpoints

  • Direct secure messaging: jschroeder24618@direct.utoledo.edu
  • Direct secure messaging: jschroeder30285@direct.promedica.org

Organizations & group practices 5

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1427265370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE FL 3",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-6644",
            "fax_number": "419-383-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 CONFERENCE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148009",
            "telephone_number": "419-383-6644",
            "fax_number": "419-383-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 W CENTRAL AVE STE 201",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063819",
            "country_code": "US",
            "telephone_number": "419-291-3900",
            "fax_number": "419-479-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JASON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35091534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARE",
            "identifier": "P00703103",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2860015",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.