Individual provider Active NPI

James A Schoen, D.O.

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1093796369
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007953 Issued in OH
Practice address
165 S Edwin C Moses Blvd
Dayton, OH 45402-8472
Phone
(937) 558-0180
NPI assigned
Nov 14, 2005
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34007953 OH Primary

Addresses

Primary practice location

165 S Edwin C Moses Blvd
Dayton, OH 45402-8472

Mailing address

1323 W 3Rd St
Dayton, OH 45402-6714
Phone (937) 586-9733

Other identifiers 2

IdentifierTypeStateIssuer
2520007MedicaidOH
3601331OtherOHMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000719 OH Practitioner - General PracticePractitioner - Family Practice 1759351430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

165 E Edwin C Moses Blvd
Suite 100
Dayton, OH 45402-8472
Phone (937) 535-5060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34007953OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler County Community Health Consortium, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Butler County Community Health Consortium Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients
Butler County Community Health Consortium, Inc. Past Accepting new patients

Locations

210 S 2nd St
Hamilton, OH 45011
Phone (513) 454-1460

Interoperability endpoints

  • Direct secure messaging: james.schoen.p5@direct.myprimaryhealth.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1093796369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026714",
            "telephone_number": "937-586-9733",
            "fax_number": "937-586-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454028472",
            "telephone_number": "937-558-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEN",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2520007",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3601331",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.