Southeast Missouri Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2003012137 Issued in MO

Legal business name

SOUTHEAST MISSOURI ORAL & MAXILLOFACIAL SURGERY

Practice address

66 Doctors Park
Cape Girardeau, MO 63703-4928

Phone

(573) 334-5566

Fax

(573) 334-9004

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Steve Schoolman, DDS

Title

Owner

Phone

(573) 334-5566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Ronald Schoolman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Cape Girardeau, MO
  • NPI 1093862997
  Medicare reassignment NPD
• Bryan Schoolman, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cape Girardeau, MO
  • NPI 1043661564
  NPD

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1114217585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-5566",
            "fax_number": "573-334-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-5566",
            "fax_number": "573-334-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSOURI ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "SCHOOLMAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-334-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2003012137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Missouri Area Agency on Aging, Inc. (Aging Matters)
• Southeast Missouri Hospital Physicians LLC (Mercy Southeast Pediatrics)
• Southeast Missouri Hospital Physicians LLC (Mercy Southeast Primary Care West)
• Southeast Missouri Hospital Physicians LLC (Southeast Primary Care - Broadway)
• Southeast Missouri Hospital Physicians, LLC (Mercy Clinic Southeast)
• Southeast Missouri State University (Horizons Enrichment Center)
• Southeast Missouri State University (Horizons Enrichment Center)
• Southeast Missouri State University (SEMO State Sports Medicine)
• Southeast Missouri State University Autism Center
• Southeast Missouri State University Autism Center

• Oral and Maxillofacial Surgery (Dentist) in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.