Southern Ohio Oral & Facial Surgeons, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30019719 Issued in OH

Legal business name

SOUTHERN OHIO ORAL & FACIAL SURGEONS, INC.

Practice address

36 N Walnut St
Chillicothe, OH 45601-3114

Phone

(740) 773-6159

Fax

(740) 773-1078

NPI assigned

Jun 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Schoonmaker, DMDNPI 1831257294

Title

Ceo

Phone

(740) 773-6159

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard J Schoonmaker, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Chillicothe, OH
  • NPI 1831257294
  NPD (past) Authorized official

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194920322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013114",
            "telephone_number": "740-773-6159",
            "fax_number": "740-773-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013114",
            "telephone_number": "740-773-6159",
            "fax_number": "740-773-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO ORAL & FACIAL SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOONMAKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-773-6159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30019719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Ohio ENT Associates Inc (Mathew J Cosenza DO)
• Southern Ohio Eye Surgery Center, LLC
• Southern Ohio Eye Surgical Associates LLC
• Southern Ohio Foot and Ankle Associates Inc
• Southern Ohio Ophthalmic Anesthesia, LLC
• Southerncare Inc (SouthernCare Chillicothe)
• Heather Sowers
• Lyndsey Nicole Sowers, FNP-C
• Christin L Spahn, MD
• Bethanie C Spangenberg, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.