Provider Demographics
NPI:1972506459
Name:SCHOOLER, DARIA (MD)
Entity Type:Individual
Prefix:MS
First Name:DARIA
Middle Name:
Last Name:SCHOOLER
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:P O BOX 3007
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47202-3007
Mailing Address - Country:US
Mailing Address - Phone:812-375-0000
Mailing Address - Fax:812-375-0711
Practice Address - Street 1:2675 FOX POINTE DRIVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203
Practice Address - Country:US
Practice Address - Phone:812-375-0000
Practice Address - Fax:812-375-0711
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01041084174400000X
IN010410814A207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000076601OtherBLUE CROSS BLUE SHIELD
143390Medicare UPIN