Jerry Lynn Schottler, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

15370 Issued in MN

Practice address

6565 France Ave S
Suite 375
Edina, MN 55435-2137

Phone

(651) 312-1700

Fax

(651) 312-1570

NPI assigned

Jun 2, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Infinite Health Collaborative, PA

  • Orthopaedic Surgery Physician
  • Bloomington, MN
  • NPI 1164474250

  Colon & Rectal Surgery

  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1629016977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WESTGATE DR",
            "address_2": "SUITE 190",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141065",
            "telephone_number": "651-312-1500",
            "fax_number": "651-312-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S",
            "address_2": "SUITE 375",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352137",
            "telephone_number": "651-312-1700",
            "fax_number": "651-312-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTTLER",
        "first_name": "JERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MN",
            "license": "15370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "556873100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A Schnichels, MSSW, ACSW, LICSW
• Faith Ashley Schoenecker, M.A. CCC/SLP
• Jill Schoeppner, PT
• Brandon Eugene Schomberg, PT
• Carol Hagen Schoonover, M.D.
• Heather Lea Gliadon Schraan, CRNA, RN
• Kendall Marie Schreier, LPCC
• David Charles Schroeckenstein, MD
• Stephanie J Schroeder, OTR,CHT
• Tamara Schroeher, DPT

• Colon & Rectal Surgery Physician in Edina, MN
• Providers in Edina, MN by specialty
• Colon & Rectal Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.