Provider Demographics
NPI:1154391829
Name:SCHROEDER, ASHLEY ANDERS (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ANDERS
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:EVMS MEDICAL GROUP
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-388-6200
Mailing Address - Fax:757-388-6201
Practice Address - Street 1:600 GRESHAM DR STE 1100
Practice Address - Street 2:EVMS MEDICAL GROUP
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-388-6200
Practice Address - Fax:757-388-6201
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101051349207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10133138OtherOPTIMA HEALTH
VA-004OtherTRICARE/CHAMPUS
VAPAROtherCORVEL
VA1154391829OtherCIGNA
VA1154391829OtherCOVENTRY NETWORK
NC1154391829Medicaid
VAPAROtherUSA MANAGED CARE
VAPAROtherMULTIPLAN
VA1154391829OtherVIRGINIA PREMIER HEALTH PLAN
VA1154391829Medicaid
VAPAROtherVIRGINIA HEALTH NETWORK
VA1154391829OtherUNITED HEALTHCARE
VA522460OtherANTHEM BC/BS
VAPAROtherAETNA
VAPAROtherAETNA
VA1154391829OtherVIRGINIA PREMIER HEALTH PLAN