Provider Demographics
NPI:1720031974
Name:ESCHWEILER, AMY S (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:S
Last Name:ESCHWEILER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:S
Other - Last Name:SCHRODER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:16349 SHERIDAN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-4675
Mailing Address - Country:US
Mailing Address - Phone:515-987-0333
Mailing Address - Fax:833-288-7911
Practice Address - Street 1:16349 SHERIDAN AVE STE 101
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-4675
Practice Address - Country:US
Practice Address - Phone:515-987-0333
Practice Address - Fax:833-288-7944
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001241363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S94275Medicare UPIN
I9983Medicare ID - Type Unspecified