Provider Demographics
NPI:1073551297
Name:SCHOOLER, GARTH S (MD)
Entity Type:Individual
Prefix:
First Name:GARTH
Middle Name:S
Last Name:SCHOOLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STANLEY
Other - Middle Name:
Other - Last Name:SCHOOLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1919 STATE STREET SUITE 324
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-6807
Mailing Address - Country:US
Mailing Address - Phone:812-945-7536
Mailing Address - Fax:812-945-7542
Practice Address - Street 1:1919 STATE STREET SUITE 324
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6807
Practice Address - Country:US
Practice Address - Phone:812-945-7536
Practice Address - Fax:812-945-7542
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01033436A207P00000X
KY23242207PS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN35-2148306OtherACTIVE ATHLETE
IN11327522OtherCAQH
IN100327800AMedicaid
IN61-1091357OtherTAX ID
IN61-1091357OtherTAX ID
IN272370AMedicare PIN
IN11327522OtherCAQH
IN35-2148306OtherACTIVE ATHLETE
IN100327800AMedicaid