Individual provider Active NPI

Cynthia Ann Schadder, MD

  • Pediatrics Physician
  • West Reading, PA
National Provider Identifier
1790778843
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD062190L Issued in PA
Practice address
301 S 7TH Ave
Ste 3170
West Reading, PA 19611-1410
Phone
(610) 374-4491
Fax
(610) 478-1170
NPI assigned
Aug 24, 2005
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD062190L PA Primary

Addresses

Primary practice location

301 S 7TH Ave
Ste 3170
West Reading, PA 19611-1410

Mailing address

301 S 7TH Ave
Ste 3170
West Reading, PA 19611-1410
Phone (610) 374-4491

Other identifiers 1

IdentifierTypeStateIssuer
001649036MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090811000645 PA Practitioner - Pediatric Medicine 2365596251 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients
Tower Health Medical Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Reading Hospital Pediatrics Past Accepting new patients

Locations

301 S 7th Ave
Ste 3170
West Reading, PA 19611
Phone (610) 374-4491

2101 State Hill Rd
Ste 6
Wyomissing, PA 19610
Phone (610) 898-9380

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

Interoperability endpoints

  • Direct secure messaging: cschadder2568@direct.readinghealth.org

Organizations & group practices 6

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1790778843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 7TH AVE",
            "address_2": "STE 3170",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111410",
            "telephone_number": "610-374-4491",
            "fax_number": "610-478-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 7TH AVE",
            "address_2": "STE 3170",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111410",
            "telephone_number": "610-374-4491",
            "fax_number": "610-478-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADDER",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD062190L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001649036",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.