Individual provider Active NPI

Courtland Schoenhals, PA-C

  • Physician Assistant
  • Enid, OK
National Provider Identifier
1194326496
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
231 S 30TH St
Enid, OK 73701-6455
Phone
(580) 233-2900
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Family Medicine Physician 207Q00000X 4447 OK

Addresses

Primary practice location

231 S 30TH St
Enid, OK 73701-6455

Mailing address

2614 Wagon TRL
Enid, OK 73703-1630

Other practice location 1

2614 Wagon Trl
Enid, OK 73703-1630
Phone (580) 228-4039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901000772 OK Practitioner - Physician Assistant 8921403106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1106 E Broadway Ave
Enid, OK 73701-4411
Phone (580) 596-2800

231 S 30TH St
Enid, OK 73701-6455
Phone (580) 596-2800

405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone (580) 596-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4447OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Great Salt Plains Health Center, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Great Salt Plains Health Center, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Integris Bass Baptist Health Center Past Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

310 E Walnut
Canton, OK 73724
Phone (580) 886-2200

405 S Oklahoma Ave
Cherokee, OK 73728
Phone 87724284756012

231 S 30th St
Enid, OK 73701
Phone (580) 215-7555

619 N Front St
Medford, OK 73759
Phone (580) 395-3200

Organizations & group practices 5

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1194326496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 WAGON TRL",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S 30TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016455",
            "telephone_number": "580-233-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2614 Wagon Trl",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737031630",
            "country_code": "US",
            "telephone_number": "580-228-4039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOENHALS",
        "first_name": "COURTLAND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.