Bonnie Coralie Schroeder, P.A.- C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6482 Issued in AZ

Practice address

201 S 4TH Ave
Phoenix, AZ 85003-2138

Phone

(602) 876-4636

NPI assigned

Oct 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1902356280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 N CENTRAL AVE STE 5000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042228",
            "telephone_number": "602-506-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 4TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032138",
            "telephone_number": "602-876-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "BONNIE",
        "middle_name": "CORALIE",
        "credential": "P.A.- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah E Schrepper, LPN
• Aleksandra Elizabeth Schriber, MD
• Tyler Donald Schriber, MD
• Darla Janelle Schrock, MS CF-SLP
• Anne Elbiaadi Schroeder, MD
• Dalton Schroeder
• Jennifer Lynn Schroeder, MSN, RN, OCN
• Michelle Renee Schroeder, PMHNP
• Shauna Schroeder, MD
• Lucas A Schroedl, M.S., C.C.P.

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.