Samantha Schodlbauer

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5534 Issued in OK

Practice address

811 E Virginia Ave
Stillwater, OK 74075-7919

Phone

(405) 377-8255

NPI assigned

Oct 28, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dysphagia Specialists, PLLC

  • Speech-Language Pathologist
  • Stillwater, OK
  • NPI 1356746184
  NPD

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1982368650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E VIRGINIA AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740757919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E VIRGINIA AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740757919",
            "telephone_number": "405-377-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHODLBAUER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "5534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "811 E Virginia Ave",
            "city": "Stillwater",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740757919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caylie Donae Schmidt, HIS
• Morgan Mae Schmidt
• Jon Thomas Schneider
• Ethan Schneller, RBT
• Rylee Elizabeth Schneller
• Emily Renee Schovanec, PT
• Scott Schuessler, D.D.S.
• Wesley Ray Schultz
• Melinda Schuster, LPC
• Katy Schwarz, PT, DPT

• Pediatrics Physician in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.