Active NPI
Joel Anthony Schor, M.D.
- Specialist
- Bluefield, WV
National Provider Identifier
1003866997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15040
- Practice address
- 1027 Frederick St
Bluefield, WV 24701-3942 - Phone
- (304) 325-8104
- Fax
- (304) 324-4267
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15040 | WV | Primary |
Addresses
Primary practice location
1027 Frederick St
Bluefield, WV 24701-3942
Mailing address
1027 Frederick St
Bluefield, WV 24701-3942
Phone (304) 325-8104
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000194492 | Other | WV | MT.STATE BC/BS |
| V002654 | Other | WV | CHAMPUS |
| 276040 | Other | WV | FEDERAL BLACK LUNG |
| 550659088003 | Other | WV | PEIA (WV PUBLIC EMPL) |
| 6063501 | Medicaid | VA | |
| 0071093000 | Medicaid | WV | |
| 830002821 | Other | WV | MEDICARE/TRAVELERS |
| 4653977 | Other | WV | AETNA HEALTH PLANS |
| 087343 | Other | VA | TRIGON BC/BS OF VIRGINIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15040 | WV | MD | Specialist |
Interoperability endpoints
- jschor@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1003866997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 FREDERICK ST",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247013942",
"telephone_number": "304-325-8104",
"fax_number": "304-324-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 FREDERICK ST",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247013942",
"telephone_number": "304-325-8104",
"fax_number": "304-324-4267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOR",
"first_name": "JOEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "15040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT.STATE BC/BS",
"identifier": "000194492",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "V002654",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "276040",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEIA (WV PUBLIC EMPL)",
"identifier": "550659088003",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6063501",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0071093000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE/TRAVELERS",
"identifier": "830002821",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLANS",
"identifier": "4653977",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON BC/BS OF VIRGINIA",
"identifier": "087343",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.