Organization Active NPI

Gabrielle Schoeppner MD and Associates, LLC

  • Ophthalmology Physician
  • Easton, PA
National Provider Identifier
1184683070
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GABRIELLE SCHOEPPNER MD AND ASSOCIATES, LLC
Practice address
3735 Nazareth Rd
Suite 205
Easton, PA 18045-8364
Phone
(610) 258-7255
Fax
(610) 258-5197
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Gabrielle Schoeppner, M.D.NPI 1003875980
Title
Owner
Phone
(610) 258-7255

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3735 Nazareth Rd
Suite 205
Easton, PA 18045-8364

Mailing address

3735 Nazareth Rd
Suite 205
Easton, PA 18045-8364
Phone (610) 258-7255

Other identifiers 3

IdentifierTypeStateIssuer
03120400OtherPACAPITAL BLUE CROSS
1328945OtherPAHIGHMARK BLUE SHIELD
761841OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000701 PA Part B Supplier - Clinic/Group Practice 2769460690 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, PA

National Provider Directory

National Provider Directory
Tax ID family
Gabrielle Schoeppner2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3735 Nazareth Rd
Ste 205
Easton, PA 18045
Phone (610) 250-7255

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1184683070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 NAZARETH RD",
            "address_2": "SUITE 205",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458364",
            "telephone_number": "610-258-7255",
            "fax_number": "610-258-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 NAZARETH RD",
            "address_2": "SUITE 205",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458364",
            "telephone_number": "610-258-7255",
            "fax_number": "610-258-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE SCHOEPPNER MD AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "SCHOEPPNER",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-258-7255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03120400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1328945",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "761841",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.