Provider Demographics
NPI:1053366872
Name:SCHOOLER MEDICAL PROFESSIONALS PC
Entity type:Organization
Organization Name:SCHOOLER MEDICAL PROFESSIONALS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SCHOOLER
Authorized Official - Suffix:
Authorized Official - Credentials:PAC
Authorized Official - Phone:515-223-0119
Mailing Address - Street 1:2213 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-5305
Mailing Address - Country:US
Mailing Address - Phone:515-237-3974
Mailing Address - Fax:515-883-2692
Practice Address - Street 1:1045 76TH ST
Practice Address - Street 2:SUITE 1050
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5834
Practice Address - Country:US
Practice Address - Phone:515-223-0119
Practice Address - Fax:515-457-3164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IADF4422OtherRAILROAD MEDICARE PIN
R03203Medicare UPIN
IADF4422OtherRAILROAD MEDICARE PIN