Provider Demographics
NPI:1720155161
Name:THOMAS A SCHROETER MD PA
Entity Type:Organization
Organization Name:THOMAS A SCHROETER MD PA
Other - Org Name:SCHROETER ORTHOPAEDIC SURGERY AND SPORTS THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHROETER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-798-3375
Mailing Address - Street 1:6114 MANATEE AVENUE WEST
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209
Mailing Address - Country:US
Mailing Address - Phone:941-798-3375
Mailing Address - Fax:941-795-2024
Practice Address - Street 1:6114 MANATEE AVENUE WEST
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209
Practice Address - Country:US
Practice Address - Phone:941-798-3375
Practice Address - Fax:941-795-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0063218207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty