Provider Demographics
NPI:1295717809
Name:ROBERT E. SCHROEDER, M.D., APMC
Entity type:Organization
Organization Name:ROBERT E. SCHROEDER, M.D., APMC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-449-7791
Mailing Address - Street 1:PO BOX 8537
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71306-1537
Mailing Address - Country:US
Mailing Address - Phone:318-449-7791
Mailing Address - Fax:318-449-7413
Practice Address - Street 1:501 MEDICAL CENTER DR
Practice Address - Street 2:BOX 30156
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8124
Practice Address - Country:US
Practice Address - Phone:318-449-7791
Practice Address - Fax:318-449-7413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1448401Medicaid