MARK E. SCHROEDER M.D.PA (NPI# 1134422389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134422389 |
| Entity Type | Organization |
| Organization Name | MARK E. SCHROEDER M.D.PA |
| Practice Address |
1005 College Blvd W Suite C Niceville FL 32578-1053 |
| Practice Telephone | 8506783994 |
| Mailing Telephone | 8506783994 |
| Mailing Fax Number | 8506787131 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | DR. MARK E SCHROEDER (PRESIDENT) |
| Authorized Official Telephone | 8506783994 |
| Authorized Official Credential | 8506783994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME69073 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1005 COLLEGE BLVD W SUITE C |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013822 | Sushil Kumar Asthana | Surgery | 1005 College Blvd W, Suite C, Niceville, FL 32578-1053 | 2006-02-20 |
| 1306192216 | Emerald Waters Medical Clinic LLC | Nurse Practitioner | 1005 College Blvd W, Suite B, Niceville, FL 32578-1060 | 2012-07-28 |
| 1548286552 | Abc Pediatrics | Pediatrics | 1005 College Blvd W, Suite B, Niceville, FL 32578-1053 | 2006-07-14 |
| 1013944552 | Hygeia Medical Group Pa | Surgery | 1005 College Blvd W, Suite C, Niceville, FL 32578-1053 | 2006-06-28 |
| 1932174091 | Mark Edward Schroeder | Internal Medicine | 1005 College Blvd W, Suite C, Niceville, FL 32578-1053 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922355155 | John Churchill Willis IIi | Internal Medicine | 823 Weeden Island Dr, Niceville, FL 32578-3724 | 2012-08-07 |
| 1972691368 | Michael Patrick Roberts | Internal Medicine | 1001 College Blvd W Ste D, Niceville, FL 32578-1049 | 2006-10-11 |
| 1962593574 | Kenneth W Ponder Md Pa | Internal Medicine | 4566 E Highway 20 Ste 103, Niceville, FL 32578-8839 | 2006-09-27 |
| 1275542276 | Roger Riggenbach | Internal Medicine | 101 Hart St, Covenant Hospice, Niceville, FL 32578-1040 | 2006-08-07 |
| 1518905355 | Stephen Joseph Zimmermann | Internal Medicine | 4586 E Highway 20 Ste B, Niceville, FL 32578-9724 | 2006-06-03 |
| 1932177557 | Cynthia Blackwell Bryan | Internal Medicine | 1001 West College Boulevard, Suite G, Niceville, FL 32578-1049 | 2006-03-09 |
| 1477962462 | Flat Top Inpatient Services LLC | Internal Medicine | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2014-08-05 |
| 1114286879 | Michael Adam Weisbruch | Internal Medicine | 1001 College Blvd W, Niceville, FL 32578-1099 | 2012-05-15 |
| 1205107141 | Titan Hospitalist Group LLC | Internal Medicine | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2012-01-24 |
| 1730499948 | Cynthia Blackwell Bryan Md Pa | Internal Medicine | 1001 W. College Blvd, Suite G, Niceville, FL 32578 | 2010-10-21 |
| Find all providers in NICEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.