DR. MARK SCHROEDER (NPI# 1417011198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417011198 |
| Entity Type | Individual |
| Full Name | DR. MARK SCHROEDER |
| Credential | M.D. LLC |
| Practice Address |
354 Warrenville Rd Mansfield Center CT 06250-1130 |
| Mailing Address |
278 N Bigelow Rd Hampton CT 06247-1405 |
| Practice Telephone | 8604559879 |
| Mailing Telephone | 8604550068 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2010-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
028905 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255544680 | Mark Andrew Schroeder | Internal Medicine | 10 Barnes West Dr Ste 100, Ste 100, Saint Louis, MO 63141-6350 | 2007-05-08 |
| 1548301815 | Mark Andrew Schroeder | Physical Therapist | 1388 Plummer St Presidio of Monterey, Cpac, Bldg 277, Monterey, CA 93944-5006 | 2007-02-09 |
| 1013436609 | Mark A Schroeder | Counselor | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2017-09-14 |
| 1881019354 | Mark Schroeder | Technician, Health Information | 3700 Saint Charles Ave, New Orleans, LA 70115-4637 | 2014-02-20 |
| 1861540858 | Mark Alan Schroeder | Nurse Anesthetist, Certified Registered | 6901 S Olympia Ave, Tulsa, OK 74132-1843 | 2007-01-08 |
| 1952492506 | Mark T Schroeder | Internal Medicine | 353 Fairmont Blvd., Rapid City, SD 57701 | 2006-09-27 |
| 1487615639 | Mark D Schroeder | Internal Medicine | 104 Selma Dr, Winchester, VA 22601-3834 | 2006-03-29 |
| 1508832015 | Mark E Schroeder | Anesthesiology | 600 Highland Ave, Madison, WI 53792 | 2006-02-24 |
| 1932174091 | Mark Edward Schroeder | Internal Medicine | 1005 College Blvd W, Suite C, Niceville, FL 32578-1053 | 2006-02-22 |
| Street Address |
354 WARRENVILLE RD |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699719120 | John Frederick Brown Haney | Psychiatry & Neurology | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2006-06-15 |
| 1245536853 | Mark Schroeder Md, LLC | Psychologist | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2011-01-28 |
| 1972763100 | Cynthia Herbert Adams | Psychologist | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2008-06-11 |
| 1285647537 | J. Lynn Stanley-haney | Nurse Practitioner | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610765 | Rebecca Hinckley | Physical Therapist | 175 Stafford Road, Mansfield Center, CT 06250 | 2020-08-22 |
| 1649801184 | Kristine Leslie Dimartino | Marriage & Family Therapist | Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 | 2020-02-03 |
| 1942845508 | Philip Fank De Ricco | Massage Therapist | 590 Ash St, Mansfield, CT 06250 | 2019-11-07 |
| 1134772858 | Lauren Curtis | Counselor | 140 North Frontage Road, Mansfield Ctr, CT 06250 | 2019-07-22 |
| 1548747629 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 | 2018-07-23 |
| 1366958480 | Mansfield Mental Health & Addiction Medicine | Psychiatry & Neurology | 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 | 2017-12-27 |
| 1124499629 | Laura Jean Lassow | Social Worker | 70 Jacobs Hill Rd, Mansfield Center, CT 06250 | 2015-10-12 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 1992026900 | Carole Laurie Olderman | Social Worker | 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 | 2010-06-14 |
| 1427384775 | Maurice Samuel Lapointe | Marriage & Family Therapist | 365 Storrs Road, Mansfield, CT 06250 | 2009-10-21 |
| Find all providers in zip 06250 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1366850521 | Mendelsohn Medical LLC | Psychiatry & Neurology | 18 Pinewood Shrs, Sherman, CT 06784-2505 | 2014-07-31 |
| 1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
| 1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1811316250 | Leon Meytin | Psychiatry & Neurology | 280 S Main St Ste 102, Cheshire, CT 06410-3112 | 2014-04-14 |
| 1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
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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.