Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL JACK SHRODER, OD
ActiveSAMUEL JACK SHRODER, OD is a Student (Health Education/Training) healthcare provider located in FAIRBORN, Ohio. NPI 1124982368 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · FAIRBORN, OH
Registration Details
- NPI Number
- 1124982368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2025 (0.69203013688131 yrs)
- Last Updated
- Dec 11, 2025
Practice Information
- Address
-
1790 COMMERCE CENTER BLVDFAIRBORN, OH, 453246358Browse OH providers · Browse ZIP 45324
- Phone
- 9378783941
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in FAIRBORN, OH
| Name | Credential | NPI |
|---|---|---|
| JENNIFER DIANE HUMSTON | — | 1922413210 |
| KAYLA HARRIS | — | 1063814044 |
| MRS. JENNA BENNETT | — | 1629456736 |
| TIMOTHY TILLMAN | — | 1568818037 |
| MS. SHEENA ELIZABETH GEOGHEGAN | M.D | 1326592635 |
| GREGORY CHESTER GAWEL | — | 1760933212 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.