Todd J Schroeder (NPI# 1982639142, PAC ID# 9032127543) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1982639142 |
| PAC ID by PECOS | 9032127543 |
| Professional Enrollment ID | I20101117001490 |
| Full Name | Todd J Schroeder |
| Organization Legal Name | LAKESHORE RADIOLOGY ASSOCIATES SC |
| Address |
2300 Western Ave Manitowoc WI 54220-3712 |
| Phone Number | 9203203800 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1989 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0840208344 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520107 | HOLY FAMILY MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 1650 S 41st St, Manitowoc, WI 54220-7316 | 9203204527 | LAKESHORE RADIOLOGY ASSOCIATES SC |
| 2300 Western Ave, Manitowoc, WI 54220-3712 | 9203203800 | LAKESHORE RADIOLOGY ASSOCIATES SC |
| 1516 Washington St, Two Rivers, WI 54241-3045 | 9207934573 | LAKESHORE RADIOLOGY ASSOCIATES SC |
| 800 Lakefront Way, Suite 54241, Two Rivers, WI 54241-3301 | 9203202436 | LAKESHORE RADIOLOGY ASSOCIATES SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 60% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 90% |
| Organization Legal Name | LAKESHORE RADIOLOGY ASSOCIATES SC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Koeberl | Diagnostic Radiology | Lakeshore Radiology Associates Sc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Stephen L Dudek | Diagnostic Radiology | Lakeshore Radiology Associates Sc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Thomas A Keller | Diagnostic Radiology | Lakeshore Radiology Associates Sc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Street Address |
2300 WESTERN AVE |
| City | MANITOWOC |
| State | WI |
| Zip | 54220-3712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Reim | Family Medicine | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Veronica Mcfarlane | Nurse Practitioner | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Hamayun S Mian | Urology | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Ruth Callaway Warren | Medical Oncology | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Todd A Nelson | Emergency Medicine | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Shahida R Munim | Internal Medicine | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Laurence J Verlinden | Family Medicine | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Ling Zhong | Physician Assistant | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Paul E Koch | Family Medicine | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Michael Rosenberg | Interventional Cardiology | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Heimerl | Chiropractic | 1632 N 18th St, Manitowoc, WI 54220-1858 | |
| Brenda L Stallbaum | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Mary Beth Reynoso | Clinical Social Worker | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Glenda A Mcconnell | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Mylan Kohler | Psychiatry | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Callie Schroeder | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Cameron A Goetz | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Ellen A Rylander | Clinical Social Worker | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Joanna M Smogoleski | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Amber M Schmitz | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Find all physicians in zip 54220 | |||
| City | MANITOWOC |
| Zip Code | 54220 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MANITOWOC + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Todd J Schroeder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.