LUKE WILLIAM SCHROEDER (NPI# 1295028397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295028397 |
| Entity Type | Individual |
| Full Name | LUKE WILLIAM SCHROEDER |
| Credential | MD |
| Practice Address |
169 Ashley Ave Charleston SC 29425 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 36766 | SC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 390200000X | MN | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
36766 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316407620 | Luke Steven Schroeder | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226 | 2019-03-22 |
| 1588039747 | Luke Schroeder | Behavioral Analyst | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2015-12-14 |
| Street Address |
169 ASHLEY AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683621 | Henry R Smith Jr. | Pharmacist | 169 Ashley Ave, Room 149 Musc, Charleston, SC 29403-5836 | 2005-10-14 |
| 1700490794 | Ryan Zachery Stone | Physician Assistant | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-09-07 |
| 1659997187 | Baxter Timmons Williams | Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-20 |
| 1295351195 | Margaret Lee Ferrell | Dentist | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-17 |
| 1518582469 | Afifah Khan | Internal Medicine | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-16 |
| 1437775376 | Timothy Andrew Webb | Neurological Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-16 |
| 1083239677 | Chelsea Danielle Eason | Dermatology | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-10 |
| 1922623503 | John Matti Sippola Thiele | Internal Medicine | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-10 |
| 1457976243 | Lauren Knightly | Obstetrics & Gynecology | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-08 |
| 1801410824 | Allison Kuipers | Pediatrics | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033384516 | Steven David Mcswain | Pediatrics | 171 Ashley Avene, Charleston, SC 29425-0001 | 2008-04-25 |
| 1578664421 | James E Mcjunkin | Pediatrics | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 | 2006-09-25 |
| 1467794867 | Allison Marie Whalen | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-4319 | 2013-03-23 |
| 1093063349 | Whitney Erin Marvin | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2012-08-16 |
| 1548413453 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1104920537 | Melissa C Evans | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0100 | 2006-09-07 |
| 1487762332 | Joel B Cochran | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1043328990 | Anne S Abel | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1750499794 | Fred Tecklenburg | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1699883645 | David Habib | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.