Jennifer A Schroeder (NPI# 1871944108, PAC ID# 9931497468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1871944108 |
PAC ID by PECOS | 9931497468 |
Professional Enrollment ID | I20161014002182 |
Full Name | Jennifer A Schroeder |
Organization Legal Name | THIRD STREET COMMUNITY CLINIC, INC |
Address |
31 E Main St Shelby OH 44875-1262 |
Phone Number | 4195256795 |
Gender | F |
Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2365423977 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360006 | RIVERSIDE METHODIST HOSPITAL |
360118 | OHIOHEALTH MANSFIELD HOSPITAL |
Address | Phone | Organization |
---|---|---|
200 Park Ave W, Mansfield, OH 44902-1608 | 4195222239 | THIRD STREET COMMUNITY CLINIC, INC |
270 Sterkel Blvd, Suite A, Mansfield, OH 44907-1508 | 4195256737 | THIRD STREET COMMUNITY CLINIC, INC |
741 Scholl Rd, Suite A, Mansfield, OH 44907-1571 | 4195256737 | THIRD STREET COMMUNITY CLINIC, INC |
770 Balgreen Dr, Suite 207, Mansfield, OH 44906-4106 | 4195266800 | THIRD STREET COMMUNITY CLINIC, INC |
199 W Main St, Fl 2, Shelby, OH 44875-1490 | 4195256732 | THIRD STREET COMMUNITY CLINIC, INC |
31 E Main St, Shelby, OH 44875-1262 | 4195256795 | THIRD STREET COMMUNITY CLINIC, INC |
Organization Legal Name | THIRD STREET COMMUNITY CLINIC, INC |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily Bowman | Nurse Practitioner | Third Street Community Clinic, Inc | 200 Park Ave W, Mansfield, OH 44902-1608 |
Courtney L Brooks | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
Jessica Rose Brent | Podiatry | Third Street Community Clinic, Inc | 2131 Park Ave W, Suite 200, Ontario, OH 44906-1226 |
Brett Edward Toward | Family Practice | Third Street Community Clinic, Inc | 600 W 3rd St, Mansfield, OH 44906-2633 |
Tricia E Giddens | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
Joseph Bocka | Emergency Medicine | Third Street Community Clinic, Inc | 200 Park Ave W, Mansfield, OH 44902-1608 |
Ashley N Wilford | Nurse Practitioner | Third Street Community Clinic, Inc | 270 Sterkel Blvd, Suite A, Mansfield, OH 44907-1508 |
Carolyn Chambers | Obstetrics/gynecology | Third Street Community Clinic, Inc | 199 W Main St, Fl 2, Shelby, OH 44875-1490 |
James Alford | Obstetrics/gynecology | Third Street Community Clinic, Inc | 199 W Main St, Fl 2, Shelby, OH 44875-1490 |
Brianna K Sampsel | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
Street Address |
31 E MAIN ST |
City | SHELBY |
State | OH |
Zip | 44875-1262 |
Name | Specialty | Organization | Address |
---|---|---|---|
Courtney L Brooks | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
Karrie Kay Burriss | Nurse Practitioner | The Center for Individual and Family Services, Inc. | 31 E Main St, Suite 3, Shelby, OH 44875-1262 |
Tricia E Giddens | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
Kevin M Fountain | Optometry | 31 E Main St, Milan, MI 48160-1475 | |
Virgilio Millado Tongson | General Surgery | 31 E Main St, Suite 4, Shelby, OH 44875-1262 | |
Clarine I Coker | Family Medicine | Ridge Family Practice, P.C. | 31 E Main St, Treynor, IA 51575-7142 |
Brianna K Sampsel | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
Ujwala Pagedar | Internal Medicine | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
David J Etzel | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
Keith Lynn Davis | Family Medicine | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Donald B Lash | Chiropractic | 100 N Gamble St, Shelby, OH 44875-1021 | |
Ajay Chawla | Internal Medicine | 110 Auburn Ave, Suite 2, Shelby, OH 44875-1104 | |
Marion C Demers | Family Medicine | 24 Morris Rd, Suite 1, Shelby, OH 44875-1152 | |
Megan A Olson | Nurse Practitioner | Shelby Primary Care LLC | 24 Morris Rd, Shelby, OH 44875-1152 |
Emily L Exten | Orthopedic Surgery | Ohiohealth Regional Physician Services LLC | 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 |
Omar F.s. Guimaraes | Obstetrics/gynecology | 24 Morris Rd, Suite 3, Shelby, OH 44875-1170 | |
Tabitha Dawn Hofer | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 |
Mark C Leeson | Orthopedic Surgery | Ohiohealth Regional Physician Services LLC | 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 |
Sudhir Sinha | Internal Medicine | 24 E Whitney Ave, Suite 2, Shelby, OH 44875-1282 | |
Patricia M Carroll-fackler | Chiropractic | 177 W Main St, Shelby, OH 44875-1439 | |
Find all physicians in zip 44875 |
City | SHELBY |
Zip Code | 44875 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SHELBY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer A 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.