JACLYN MARIE SCHROEDER (NPI# 1285273987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285273987 |
| Entity Type | Individual |
| Full Name | JACLYN MARIE SCHROEDER |
| Credential | PA-C |
| Practice Address |
7649 E Pinnacle Peak Rd Ste 100 Scottsdale AZ 85255-6296 |
| Practice Telephone | 4803783983 |
| Practice Fax Number | 6022662927 |
| Mailing Telephone | 6022662272 |
| Mailing Fax Number | 6022662927 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
7674 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE OF ARIZONA | 7674 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8410 W Thomas Rd Ste 138, Phoenix, AZ 850373374 | 6022662272 | 6022662272 |
| Street Address |
7649 E PINNACLE PEAK RD STE 100 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-6296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982988655 | Shilo Gifford | Physician Assistant | 10617 N Hayden Rd Ste B102, Scottsdale, AZ 85260-5685 | 2011-09-29 |
| 1306148721 | Meredith Bohne Esner | Physician Assistant | 16427 N Scottsdale Rd Ste 100, Scottsdale, AZ 85254-8197 | 2010-11-18 |
| 1811224694 | Amy Beth Ingersoll | Physician Assistant | 6900 E Camelback Rd Ste 850, Scottsdale, AZ 85251-2443 | 2009-11-16 |
| 1265614275 | Scott Richard Owen | Physician Assistant | 7344 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7456 | 2007-11-30 |
| 1811177231 | Jennae Marie Porter | Physician Assistant | 8817 E Bell Rd, Suite 101, Scottsdale, AZ 85260-1588 | 2007-11-14 |
| 1487834099 | Melissa Faulk | Physician Assistant | 14010 N Northsight Blvd, Scottsdale, AZ 85260-3601 | 2007-11-12 |
| 1316086226 | Darren T West | Physician Assistant | 3302 N Miller Rd, Ste D, Scottsdale, AZ 85251-6400 | 2007-02-06 |
| 1548343247 | Larissa C. Franchuk | Physician Assistant | 8406 E Shea Blvd Ste 100, Scottsdale, AZ 85260-6659 | 2006-10-24 |
| 1811080468 | Gretchen F Post | Physician Assistant | 9913 N 95th Street, Scottsdale, AZ 85258 | 2006-10-02 |
| 1174584510 | Salvatore Zummo | Physician Assistant | 12305 E Lupine Ave, Scottsdale, AZ 85259-3302 | 2006-03-28 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
Please comment or provide details below to improve the information on JACLYN MARIE SCHROEDER.
| 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.