Active NPI
Benjamin Hugh Schoepke
- Anesthesiology Physician
- Hawthorne, CA
National Provider Identifier
1215357645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A156814
- Practice address
- 14003 Shoup Ave
Hawthorne, CA 90250-6513 - Phone
- (901) 338-3499
- NPI assigned
- Apr 24, 2014
- Last updated
- Jan 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A156814 | CA | Primary |
Addresses
Primary practice location
14003 Shoup Ave
Hawthorne, CA 90250-6513
Mailing address
746 N Belvedere Blvd
Apt 2
Memphis, TN 38107-5057
Phone (901) 338-3499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Anesthesia Group, Inc. | Single Specialty | Current | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1215357645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 N BELVEDERE BLVD",
"address_2": "APT 2",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381075057",
"telephone_number": "901-338-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14003 SHOUP AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902506513",
"telephone_number": "901-338-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEPKE",
"first_name": "BENJAMIN",
"middle_name": "HUGH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-24",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A156814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.