DR. CARLY RAE SCHUETZ (NPI# 1942627377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942627377 |
| Entity Type | Individual |
| Full Name | DR. CARLY RAE SCHUETZ |
| Credential | MD |
| Practice Address |
1404 Cross St Div Newborn Medicine Shiloh IL 62269-2988 |
| Mailing Address |
1 Childrens Pl Msc 8515-87-1200 Saint Louis MO 63110-1002 |
| Practice Telephone | 3144542683 |
| Practice Fax Number | 3144544633 |
| Mailing Telephone | 3144542683 |
| Mailing Fax Number | 3144544633 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 2017011230 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
2017011230 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1404 CROSS ST DIV NEWBORN MEDICINE |
| City | SHILOH |
| State | IL |
| Zip Code | 62269-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801023155 | Wendy Maclean | Emergency Medicine | 1404 Cross St, Shiloh, IL 62269 | 2009-06-14 |
| 1902389711 | Cynthia Ann Davis | Registered Nurse | 1404 Cross St, Shiloh, IL 62269-2988 | 2018-09-08 |
| 1942712476 | Cep America - Illinois Snf, LLP | Internal Medicine | 1404 Cross St, Shiloh, IL 62269-2988 | 2017-10-24 |
| 1760939060 | Msa Alliance, LLC | Internal Medicine | 1404 Cross St, Suite 2114, Shiloh, IL 62269-2988 | 2016-09-02 |
| 1619327376 | Ca Group, LLC | Internal Medicine | 1404 Cross St, Suite 2940, Shiloh, IL 62269-2988 | 2016-06-14 |
| 1477917656 | Oa Associates, LLC | Orthopaedic Surgery | 1404 Cross St, 2nd Floor Suite 2941, Shiloh, IL 62269-2988 | 2016-04-13 |
| 1770946204 | Ob Practice, LLC | Obstetrics & Gynecology | 1404 Cross St, Third Floor Suite 3181, Shiloh, IL 62269-2988 | 2016-04-01 |
| 1578921557 | Cep Americia-illinois Intensivists | Internal Medicine | 1404 Cross St, Shiloh, IL 62269-2988 | 2016-02-04 |
| 1619335106 | Cep America-illinois Hospitalists, LLP | Family Medicine | 1404 Cross St, Shiloh, IL 62269-2988 | 2016-01-29 |
| 1134587637 | Cep America Illinois LLP | Emergency Medicine | 1404 Cross St, Shiloh, IL 62269-2988 | 2016-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043767841 | Gail Sharon Haiken | Pediatrics | 5303 Regents Park Rd, Rockford, IL 61107-5092 | 2016-09-08 |
| 1871910976 | Jessica Lahn Chiang | Pediatrics | 1775 Dempster St # 54, Park Ridge, IL 60068-1143 | 2014-03-26 |
| 1669806667 | Ricardo Tomas Rosenkranz | Pediatrics | 1200 N Lake Shore Dr, Apt. 904, Chicago, IL 60610-2370 | 2013-08-26 |
| 1063845626 | Kala Sukerkar | Pediatrics | 2406 Indian Ridge Dr, Glenview, IL 60026-1030 | 2013-08-18 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1447516257 | John Vincent Hartline | Pediatrics | 1259 Prestwick Ln, Itasca, IL 60143-1975 | 2012-04-05 |
| 1780979302 | Kelly Nelson Kelly | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1447 | 2011-06-11 |
| 1255623997 | Venkata Sasidhar Majjiga | Pediatrics | 301 N 8th Street, Siu School of Medicine, Pediatrics, Room 3a169, Springfield, IL 62794 | 2011-05-13 |
| 1700187531 | Ursula Patricia Colareta Ugarte | Pediatrics | 1444 Carol St Apt A, Park Ridge, IL 60068-1290 | 2010-11-10 |
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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.