Organization Active NPI

Laura K Schroeder MD PC

  • Infectious Disease Physician
  • Phoenix, AZ
National Provider Identifier
1619110459
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
41709 Issued in AZ
Legal business name
LAURA K SCHROEDER MD PC
Practice address
16620 N 40TH St
Ste H-4
Phoenix, AZ 85032-3399
Phone
(602) 368-7280
Fax
(602) 368-7296
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Laura K Schroeder, MD
Title
Owner/Physician
Phone
(602) 368-7280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 41709 AZ Primary

Addresses

Primary practice location

16620 N 40TH St
Ste H-4
Phoenix, AZ 85032-3399

Mailing address

16620 N 40TH St
Ste H-4
Phoenix, AZ 85032-3348
Phone (602) 368-7280

Other identifiers 1

IdentifierTypeStateIssuer
424532MedicaidAZ

National Provider Directory

National Provider Directory

Locations

16601 N 40th St
Ste 115
Phoenix, AZ 85032
Phone (602) 682-7630

16620 N 40th St
Ste H4
Phoenix, AZ 85032
Phone (602) 368-7280

3815 E Bell Rd
Ste 2750
Phoenix, AZ 85032
Phone (602) 368-7280

16620 N 40th St
Ste 114
Phoenix, AZ 85032

Practitioners & affiliated clinicians

Practitioners 2

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": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1619110459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST",
            "address_2": "STE H-4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-368-7280",
            "fax_number": "602-368-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST",
            "address_2": "STE H-4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323399",
            "telephone_number": "602-368-7280",
            "fax_number": "602-368-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA K SCHROEDER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "602-368-7280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "41709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424532",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.