Provider Demographics
NPI:1629000609
Name:SCHOLER, SUSAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:G
Last Name:SCHOLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 W CENTER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2700
Mailing Address - Country:US
Mailing Address - Phone:402-506-9115
Mailing Address - Fax:402-858-7109
Practice Address - Street 1:7100 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2700
Practice Address - Country:US
Practice Address - Phone:402-506-9115
Practice Address - Fax:402-858-7109
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE16439207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE04-01691OtherSHARE ADVANTAGE
NE01759OtherBCBS
NE12155OtherMIDLANDS CHOICE
NE12155OtherMIDLANDS CHOICE
NE01759OtherBCBS
NE04-01691OtherSHARE ADVANTAGE
NE5994996Medicaid
NE12155OtherMIDLANDS CHOICE