Provider Demographics
NPI:1205091212
Name:SCHROEDER, SARAH (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3394 SAXONBURG BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-3168
Mailing Address - Country:US
Mailing Address - Phone:412-767-0707
Mailing Address - Fax:412-278-5105
Practice Address - Street 1:3394 SAXONBURG BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-3168
Practice Address - Country:US
Practice Address - Phone:412-767-0707
Practice Address - Fax:412-767-0708
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-20
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD442071208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1025740860001Medicaid