Active NPI
Louis A Schroeder, M.D.
- Internal Medicine Physician
- Marshall, NC
National Provider Identifier
1528034667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 000026364
- Practice address
- 590 Medical Park Dr
Marshall, NC 28753-6807 - Phone
- (828) 649-3500
- Fax
- (828) 649-1032
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 000026364 | NC | |
| Internal Medicine Physician | 207R00000X | 000026364 | NC | Primary |
Addresses
Primary practice location
590 Medical Park Dr
Marshall, NC 28753-6807
Mailing address
PO Box 69
Marshall, NC 28753-0069
Phone (828) 649-9566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8974894 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26364 | NC | MD | Pharmacist |
| 000026364 | NC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1528034667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "MARSHALL",
"state": "NC",
"postal_code": "287530069",
"telephone_number": "828-649-9566",
"fax_number": "828-649-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MEDICAL PARK DR",
"city": "MARSHALL",
"state": "NC",
"postal_code": "287536807",
"telephone_number": "828-649-3500",
"fax_number": "828-649-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "LOUIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "000026364",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "000026364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8974894",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.