DR. SUSAN SCHROEDER (NPI# 1366410920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366410920 |
| Entity Type | Individual |
| Full Name | DR. SUSAN SCHROEDER |
| Other Name | DR. SUSAN SCHROEDER ELLIS |
| Credential | M.D. |
| Practice Address |
1259 Lake Plaza Dr Ste 270 Colorado Springs CO 80906-3560 |
| Practice Telephone | 7194217132 |
| Practice Fax Number | 7196397903 |
| Mailing Telephone | 7194217132 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 40371 | CO | Other Service Providers |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
25MA08824100 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932436235 | Susan C. Schroeder | Anesthesiologist Assistant | 303 Parkway Drive Ne, Pmb 404, Atlanta, GA 30312-1212 | 2009-11-06 |
| 1346550407 | Susan Schroeder | Psychologist | 2105 Crums Ln, Louisville, KY 40216-4231 | 2010-10-07 |
| 1861665408 | Susan Marie Schroeder | Occupational Therapist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2008-04-03 |
| 1184833675 | Susan Schroeder | Occupational Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2007-05-21 |
| 1255416798 | Susan Elizabeth Schroeder | Counselor | 10850 W Park Pl, Suite 100, Milwaukee, WI 53224-3606 | 2006-10-25 |
| 1124092457 | Susan K Schroeder | Physician Assistant | 196 Parkway S, Suite 201, Waterford, CT 06385-1219 | 2006-02-14 |
| 1689660623 | Susan J Schroeder | Nurse Anesthetist, Certified Registered | 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 | 2005-09-26 |
| 1548254642 | Susan K. Schroeder | Nurse Anesthetist, Certified Registered | 232 W 25th St, Erie, PA 16544-0002 | 2005-09-02 |
| Street Address |
1259 LAKE PLAZA DR STE 270 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497207864 | Perfect Skin Dermatology PC | Dermatology | 1259 Lake Plaza Dr, Suite 270, Colorado Springs, CO 80906-3504 | 2016-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386888428 | Maida L. Burrow M.d. | Dermatology | 790 Wellington Ave Ste 103, Grand Junction, CO 81501-6127 | 2009-04-20 |
| 1902898711 | Columbine Dermatology PC | Dermatology | 10359 Federal Blvd, Suite 210, Westminster, CO 80260-7452 | 2005-08-17 |
| 1730503350 | Columbine & Flatirons Dermatology Associates | Dermatology | 90 Health Park Dr, Suite 390, Louisville, CO 80027-9757 | 2014-02-18 |
| 1932479961 | Peak Dermatology Professional LLC | Dermatology | 2009 W Littleton Blvd, Suite 100, Littleton, CO 80120-2024 | 2012-01-06 |
| 1053449306 | Dermatology Specialists of Boulder, PC | Dermatology | 2880 Folsom St, Suite #200, Boulder, CO 80304-3739 | 2007-03-01 |
| 1003909458 | Theresa Pacheco | Dermatology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-09-30 |
| 1003839358 | Sarolta Katalin Szabo | Dermatology | 206 W County Line Rd, Suite 340, Highlands Ranch, CO 80129-2318 | 2006-07-26 |
| 1265424063 | Lawrence Fred Barfield | Dermatology | 10359 Federal Blvd, Suite 210, Westminster, CO 80260-7452 | 2005-08-17 |
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.