Individual provider Active NPI

Brian Edwin Schrolucke, LPN

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1477647022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN099831 Issued in OH
Practice address
3595 Oaklawn Street
Columbus, OH 43224
Phone
(614) 784-9023
Fax
(309) 104-3663
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN099831 OH Primary
Licensed Practical Nurse 164W00000X PN5148862 FL

Addresses

Primary practice location

3595 Oaklawn Street
Columbus, OH 43224

Mailing address

3595 Oaklawn Street
Columbus, OH 43224
Phone (614) 784-9023

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

State licenses

LicenseStateTypeSpecialty
PN5148862FLMDLicensed Practical Nurse
PN099831OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477647022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 OAKLAWN STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43224",
            "telephone_number": "614-784-9023",
            "fax_number": "309-104-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 OAKLAWN STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43224",
            "telephone_number": "614-784-9023",
            "fax_number": "309-104-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROLUCKE",
        "first_name": "BRIAN",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN099831",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5148862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.