George S Schroeder, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23231020 Issued in WI

Practice address

1000 Eastern Ave
Plymouth, WI 53073-1921

Phone

(920) 893-0526

Fax

(920) 893-9409

NPI assigned

Sep 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: gschroeder82767@direct.myadvocateaurora.org

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1518953249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EASTERN AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731921",
            "telephone_number": "920-893-0526",
            "fax_number": "920-893-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EASTERN AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731921",
            "telephone_number": "920-893-0526",
            "fax_number": "920-893-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "GEORGE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "23231020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30346400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Kregel Incorporated (Senior Helpers)
• Lacey Lyn Schafer, NP-BC
• Jennifer Lee Scheel, APNP
• Donna Schelfhout, LPC
• Emily Paige Schmitt, MSAC, LAC
• Josef Schwartz
• Klairice Rose Schwartz, DC
• Robert J Scott, M.D.
• Andrea S Seifert
• Kelly Senkbeil, PHARM.D.

• Family Medicine Physician in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.