Paul Benjamin Schodowski, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

DPM0000000479 Issued in TN

Practice address

2004 American Way
Suite 115
Kingsport, TN 37660-4673

Phone

(423) 246-8840

Fax

(423) 246-8559

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Optivrx, LLC

  • Specialty Pharmacy
  • Knoxville, TN
  • NPI 1699474320
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1033109327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 AMERICAN WAY",
            "address_2": "STE 115",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604673",
            "telephone_number": "423-246-8840",
            "fax_number": "423-246-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 AMERICAN WAY",
            "address_2": "SUITE 115",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604673",
            "telephone_number": "423-246-8840",
            "fax_number": "423-246-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHODOWSKI",
        "first_name": "PAUL",
        "middle_name": "BENJAMIN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "DPM0000000479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne B Schalau, MD
• Emile George Schmidt Jr., PT
• Schneider Chiropractic PLLC
• Heather Renee Schneider, D.C.
• Janet Schneider, PT
• Kathryn Rosa Schott, M.D.
• Eric Schwartz, MD
• Sallyann Schwartz, MA LPC MNSP
• Scott Tomlinson, D.D.S.,P.C.
• Susan Strickland Scruggs, APRN, CRNA

• Foot Surgery Podiatrist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Foot Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.

Verify at the official NPI Registry.