Individual provider Active NPI

Richard J Schroer, MD

  • Clinical Genetics (M.D.) Physician
  • North Charleston, SC
National Provider Identifier
1669463220
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
9091 Issued in SC
Practice address
3520 W Montague Ave Ste 104
North Charleston, SC 29418-6083
Phone
(843) 746-1001
Fax
(843) 746-1002
NPI assigned
Nov 2, 2005
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 9091 SC Primary

Addresses

Primary practice location

3520 W Montague Ave Ste 104
North Charleston, SC 29418-6083

Mailing address

101 Gregor Mendel Cir
Greenwood, SC 29646-2316
Phone (864) 941-8100

Other identifiers 1

IdentifierTypeStateIssuer
090911MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20100622000316 SC Practitioner - Pediatric Medicine 5698806552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenwood Genetic Center LabGroup PAC ID 9830097039, 9 clinicians

Practice addresses (Care Compare)

3520 W Montague Ave
Suite 104
North Charleston, SC 29418-6083
Phone (843) 746-1001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9091SCMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Genetics Center, Inc. Clinical Genetics (M.D.) CurrentSince Oct 21, 2006 Accepting new patients
Greenwood Genetics Center, Inc. Clinical Genetics (M.D.) Current Accepting new patients
Greenwood Genetic Center Lab CurrentSince Oct 21, 2006 Accepting new patients

Locations

101 Gregor Mendel Cir
Greenwood, SC 29646
Phone (864) 941-8100

3520 W Montague Ave
Ste 104
North Charleston, SC 29418
Phone (843) 746-1001

Interoperability endpoints

  • Direct secure messaging: rschroer31721@direct.musc.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1669463220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREGOR MENDEL CIR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462316",
            "telephone_number": "864-941-8100",
            "fax_number": "864-941-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 W MONTAGUE AVE STE 104",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186083",
            "telephone_number": "843-746-1001",
            "fax_number": "843-746-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROER",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "SC",
            "license": "9091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090911",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.