| Dr Christopher W Schroeder, MD | |
|
1721-07 Ebenezer Road, Suite 175, Rock Hill, SC 29732 | |
| (803) 324-5256 | |
| (803) 328-0440 |
| Full Name | Dr Christopher W Schroeder |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1721-07 Ebenezer Road, Rock Hill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457356420 | NPI | - | NPPES |
| 134447 | Medicaid | SC | |
| 2073883 | Other | FIRST HEALTH | |
| 297390 | Other | MAMSI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 13444 (South Carolina) | Primary |
| 208600000X | Surgery | 23262 (North Carolina) | Secondary |
| Entity Name | Surgical Specialists Of Charlotte Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20050714001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher W Schroeder, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7840 | Dr Christopher W Schroeder, MD 1721-07 Ebenezer Road, Suite 175, Rock Hill, SC 29732 Ph: (803) 324-5256 |
Dr. Kamran Borhanian, MD Surgery Medicare: Medicare Enrolled Practice Location: 200 S. Herlong Ave., Suite G, Rock Hill, SC 29732 Phone: 803-909-6300 Fax: 803-909-6310 | |
Dr. Joliette Nicole Grace, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Herlong Ave S Ste G, Rock Hill, SC 29732 Phone: 803-909-6300 Fax: 803-909-6310 | |
Dr. Daniel Thomas Mcdevitt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 803-329-1234 Fax: 803-328-1785 | |
Dr. Shamly Venus Dhiman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 | |
Dr. Manthan Dipak Makadia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732 Phone: 804-324-5256 | |
Dr. Robert D Randall Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1665 Herlong Ct, Suite A, Rock Hill, SC 29732 Phone: 803-329-8500 Fax: 803-329-8511 |