Active NPI
Rebecca J Schoettle Pediatrics Inc
- Pediatrics Physician
- Portsmouth, OH
National Provider Identifier
1174807697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35048393
- Legal business name
- REBECCA J SCHOETTLE PEDIATRICS INC
- Practice address
- 1735 27TH St
Suite 201
Portsmouth, OH 45662-2677 - Phone
- (740) 353-6500
- Fax
- (740) 354-5389
- NPI assigned
- Oct 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca J Schoettle, M.D.
- Title
- President
- Phone
- (740) 353-6500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35048393 | OH | Primary |
Addresses
Primary practice location
1735 27TH St
Suite 201
Portsmouth, OH 45662-2677
Mailing address
1735 27TH St
Suite 201
Portsmouth, OH 45662-2677
Phone (740) 353-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0599213 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1735 27th St
Ste 201
Portsmouth, OH 45662
Phone (740) 353-6500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Portsmouth, OH
- NPI 1952306375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317600000000",
"number": "1174807697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 27TH ST",
"address_2": "SUITE 201",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622677",
"telephone_number": "740-353-6500",
"fax_number": "740-354-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 27TH ST",
"address_2": "SUITE 201",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622677",
"telephone_number": "740-353-6500",
"fax_number": "740-354-5389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA J SCHOETTLE PEDIATRICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A",
"authorized_official_last_name": "SCHOETTLE",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-353-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": "35048393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0599213",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.