Individual
DR. TAMMY KAYE SCHRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5211 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229-2183
(502) 966-3918
(502) 969-3665
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 559-9337
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01055170A
IN
208000000X
Pediatrics Physician
Primary
35443
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000845602
ANTHEM-NCMA
KY
01
—
130986
SIH0-NCMA
KY
05
—
200322800
—
IN
01
—
50061772
PASSPORT-NCMA
KY
05
—
64016736
—
KY
01
—
IN2570088
MEDICARE
IN
Enumeration date
05/05/2006
Last updated
04/04/2024
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