CHARLES SCHROEDER (NPI# 1669471512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669471512 |
Entity Type | Individual |
Full Name | CHARLES SCHROEDER |
Credential | MD |
Practice Address |
9330 Park West Blvd Ste 502 Knoxville TN 37923 |
Practice Telephone | 8655313303 |
Practice Fax Number | 8655311272 |
Mailing Telephone | 8655313303 |
Mailing Fax Number | 8655311272 |
Enumeration Date | 2005-07-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 28382 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GRP MEDICAID CLAIMS RECIE | 3720237 | 01 |
BCBS | 4063853 | 01 | |
GRP MEDICAID | 3720237 | 01 | |
TN | 3804619 | 05 | |
AETNA | 5504519 | 01 | |
JOHN DEERE | TN0101 | 01 | |
BLUE CARE - TNCARE | 4063853 | 01 | |
GRP MEDICARE | 3720237 | 01 | |
SC | MEDICAID CLAIMS RECIEPT | 3804619 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265469431 | Charles Schroeder | Specialist | 3510 N Causeway Blvd, Metairie, LA 70002-3531 | 2006-06-26 |
1841265667 | Charles Eric Schroeder | Internal Medicine | 302 N 1st St, Mound City, KS 66056-5279 | 2006-02-23 |
Street Address |
9330 PARK WEST BLVD STE 502 |
City | KNOXVILLE |
State | TN |
Zip Code | 37923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912906991 | Rosalind Cadigan | Obstetrics & Gynecology | 9330 Park West Blvd, Ste 502, Knoxville, TN 37923-4308 | 2005-07-20 |
1326546664 | Lindsay Marie Grammes | Physician Assistant | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2018-01-31 |
1629524855 | Benjamin Seth Chaffins | Nurse Practitioner | 9330 Park West Blvd, Suite 100, Knoxville, TN 37923-4308 | 2016-08-28 |
1891154092 | Mary Beth Johnson | Nurse Practitioner | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2016-02-16 |
1699015727 | Tennessee Gyn | Obstetrics & Gynecology | 9330 Park West Blvd, Suite 409, Knoxville, TN 37923-4308 | 2013-02-27 |
1639419237 | Kara Neely | Physician Assistant | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2013-02-20 |
1003174350 | Andrew David Goins | Internal Medicine | 9330 Park West Blvd, Ste 402, Knoxville, TN 37923-4308 | 2012-04-24 |
1538437348 | Tennessee Orthopaedic Clinics PC | Clinic/Center | 9330 Park West Blvd, Suite 300, Knoxville, TN 37923-4308 | 2011-12-07 |
1639469919 | Feet First, Pllc | Skilled Nursing Facility | 9330 Park West Blvd, Suite #508, Knoxville, TN 37923-4308 | 2011-04-08 |
1366615734 | Ronald William Bryan | Specialist | 9330 Park West Blvd, Suite #103, Knoxville, TN 37923-4308 | 2008-04-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
Find all providers in zip 37923 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942437181 | Michael Robert Polin | Obstetrics & Gynecology | 1930 Alcoa Hwy Ste A235, Knoxville, TN 37920-1510 | 2009-06-15 |
1821225327 | Kevin Charles Visconti | Obstetrics & Gynecology | 1930 Alcoa Highway, Building A Suite 435, Knoxville, TN 37920 | 2009-06-11 |
1992846786 | Women's Health Partners of East Tennessee PC | Obstetrics & Gynecology | 9330 Park West Blvd Ste 300, Knoxville, TN 37923-4311 | 2007-02-12 |
1730268855 | Kimberly H Roberts | Obstetrics & Gynecology | 100310 Sherrill Blvd, Knoxville, TN 37932-3336 | 2006-11-02 |
1780767640 | Ceeccy Yang | Obstetrics & Gynecology | 10031 Sherrill Blvd, Knoxville, TN 37932-3336 | 2006-10-23 |
1588745251 | Jerry Earl Sanders | Obstetrics & Gynecology | 1600 Agawela Ave, Knoxville, TN 37919-8319 | 2006-10-18 |
1912017831 | Laurel Ob Gyn Assoc Pa | Obstetrics & Gynecology | 2001 Laurel Ave #404, Knoxville, TN 37916 | 2006-08-30 |
1407962558 | Tammy Ewayne Baker | Obstetrics & Gynecology | 2013 Highland Avenue, Knoxville, TN 37916 | 2006-08-22 |
1720023708 | Heather Katherine Moss | Obstetrics & Gynecology | 4005 Fountain Valley Dr, Suite 450, Knoxville, TN 37918-5327 | 2006-06-17 |
1730133851 | Christine Linda Gale | Obstetrics & Gynecology | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2006-05-22 |
Find all providers in KNOXVILLE |
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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.