Individual provider Active NPI

Kathleen Mary Schneider, M.D.

  • Internal Medicine Physician
  • Wauwatosa, WI
National Provider Identifier
1871643080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27133 Issued in WI
Practice address
2675 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1315
Phone
(414) 257-2600
Fax
(414) 454-3144
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27133 WI Primary

Addresses

Primary practice location

2675 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1315

Mailing address

10424 N Country Club Drive
Mequon, WI 53092
Phone (414) 257-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20151116000404 WI Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 8022025402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27133WIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871643080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10424 N COUNTRY CLUB DRIVE",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "414-257-2600",
            "fax_number": "414-454-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N MAYFAIR RD",
            "address_2": "SUITE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261315",
            "telephone_number": "414-257-2600",
            "fax_number": "414-454-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "27133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.