Organization Active NPI

George Schroeder, M.D., P.a.

  • Ophthalmology Physician
  • Little Rock, AR
National Provider Identifier
1457553869
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R1935 Issued in AR
Legal business name
GEORGE SCHROEDER, M.D., P.A.
Practice address
9800 Lile Dr Ste 301
Little Rock, AR 72205-6230
Phone
(501) 225-4488
Fax
(501) 225-9299
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. George T Schroeder, M.D.
Title
President
Phone
(501) 225-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X R1935 AR Primary

Addresses

Primary practice location

9800 Lile Dr Ste 301
Little Rock, AR 72205-6230

Mailing address

9800 Lile Dr Ste 301
Little Rock, AR 72205-6230
Phone (501) 225-4488

Other identifiers 1

IdentifierTypeStateIssuer
104847002MedicaidAR

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1457553869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 LILE DR STE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056230",
            "telephone_number": "501-225-4488",
            "fax_number": "501-225-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 LILE DR STE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056230",
            "telephone_number": "501-225-4488",
            "fax_number": "501-225-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE SCHROEDER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-225-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "R1935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104847002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.