Individual provider Active NPI

Daniel Schroder, D.O

  • Emergency Medicine Physician
  • Lumberton, NC
National Provider Identifier
1508253162
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
209926 Issued in NC
Practice address
300 West 27TH Street
Southeastern Health
Lumberton, NC 28359
Phone
(910) 272-1478
Fax
(910) 671-5392
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 209926 NC Primary

Addresses

Primary practice location

300 West 27TH Street
Southeastern Health
Lumberton, NC 28359

Mailing address

300 West 27TH Street
Southeastern Health
Lumberton, NC 28359
Phone (910) 272-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170808002664 NC Practitioner - Emergency Medicine 9032401393 Reassigns benefits to 4 organizations
I20190807001805 AZ Practitioner - Emergency Medicine 9032401393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecep II PAGroup PAC ID 5092709931, 23 clinicians
Robeson Emergency Physicians PLLCGroup PAC ID 3870846934, 29 clinicians
Emergency Group of Arizona Professional CorporationGroup PAC ID 1355596644, 102 clinicians

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 202-3363

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000

525 S Watson Rd
Buckeye, AZ 85325-3449
Phone (623) 925-3980

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robeson Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 2, 2019 Accepting new patients
Arizona Emergency Medicine Specialists PC Emergency Medicine CurrentSince Jun 26, 2019 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Jul 21, 2018 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jul 15, 2019 Accepting new patients
DLP Harris Regional Hospital LLC Emergency Medicine CurrentSince May 28, 2017 Accepting new patients

Locations

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

176 Walmart Plz
Sylva, NC 28779
Phone (828) 631-8282

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

Interoperability endpoints

  • Direct secure messaging: dschroder236402@direct.unc.nchie.net
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1508253162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST 27TH STREET",
            "address_2": "SOUTHEASTERN HEALTH",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28359",
            "telephone_number": "910-272-1478",
            "fax_number": "910-671-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST 27TH STREET",
            "address_2": "SOUTHEASTERN HEALTH",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28359",
            "telephone_number": "910-272-1478",
            "fax_number": "910-671-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRODER",
        "first_name": "DANIEL",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "209926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.