Active NPI
Craig Jerome Schoenecker, MD
- Psychiatry Physician
- Watertown, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 48195020
- Practice address
- 129 Hospital Dr
Watertown, WI 53098-3384 - Phone
- (920) 262-4800
- Fax
- (920) 262-4813
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 48195020 | WI | Primary |
Addresses
Primary practice location
129 Hospital Dr
Watertown, WI 53098-3384
Mailing address
129 Hospital Dr
Watertown, WI 53098
Phone (920) 262-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Wisconsin School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 N 8TH St
Sheboygan, WI 53081-4006
Phone (920) 459-6403
333 E Washington St
Suite 2100
West Bend, WI 53095-2503
Phone (262) 335-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48195020 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Wisconsin | Current | Accepting new patients | |
| County of Sheboygan | Current | Accepting new patients |
Locations
1011 N 8th St
Sheboygan, WI 53081
Phone (920) 459-6400
333 E Washington St
Ste 2100
West Bend, WI 53095
Phone (262) 335-4545
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Sheboygan County Health & Human Services
- Community/Behavioral Health Agency
- Sheboygan, WI
- NPI 1477677615
-
dba Washington County Human Services Mental Health Center
- Community/Behavioral Health Agency
- West Bend, WI
- NPI 1609801778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013920446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 HOSPITAL DR",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "53098",
"telephone_number": "920-262-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 HOSPITAL DR",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530983384",
"telephone_number": "920-262-4800",
"fax_number": "920-262-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENECKER",
"first_name": "CRAIG",
"middle_name": "JEROME",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "48195020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, WI
- Brittny Schiltz, LPC-IT
- Christine Schlaug, SLP-CF
- Cherri A Schleicher, APNP
- Carolyn T Schneider-Donley, OD
- Jewel E Schneider, APNP
- Jason J Schwager, RPH
- Serenity Mental Health Services, LLC
- Deanna Sevcik, PT
- Sheridan Healthcare Services of Wisconsin, S.C.
- Shopko Stores Operating Co LLC (ShopKo Pharmacy 019)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.