Provider Demographics
NPI:1518915271
Name:SCHRODT, TAMMY KAYE (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:KAYE
Last Name:SCHRODT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TAMMY
Other - Middle Name:KAYE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 776879
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6879
Mailing Address - Country:US
Mailing Address - Phone:502-559-9337
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:5211 COMMERCE CROSSINGS DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-2183
Practice Address - Country:US
Practice Address - Phone:502-966-3918
Practice Address - Fax:502-969-3665
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055170A208000000X
KY35443208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000845602OtherANTHEM-NCMA
KY64016736Medicaid
ININ2570088OtherMEDICARE
KY50061772OtherPASSPORT-NCMA
KY130986OtherSIH0-NCMA
IN200322800Medicaid
KY000000845602OtherANTHEM-NCMA