Provider Demographics
NPI:1710979992
Name:SCHRODT, DAVID VERLE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:VERLE
Last Name:SCHRODT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 S MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-3444
Mailing Address - Country:US
Mailing Address - Phone:641-228-5151
Mailing Address - Fax:641-228-2902
Practice Address - Street 1:1501 S MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:CHARLES CITY
Practice Address - State:IA
Practice Address - Zip Code:50616-3444
Practice Address - Country:US
Practice Address - Phone:641-228-5151
Practice Address - Fax:641-228-2902
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27011207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA6271593Medicaid
080181677OtherRR MEDICARE
I5546Medicare ID - Type Unspecified
IA6271593Medicaid