NPIMap

Individual provider Active NPI

Jeffrey Wayne Schoondyke, M.D.

  • Cardiovascular Disease Physician
  • Johnson City, TN
National Provider Identifier
1245228675
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36563 Issued in TN
Practice address
701 N State of Franklin Rd Ste 2
Johnson City, TN 37604-3645
Phone
(423) 926-4468
Fax
(423) 928-4838
NPI assigned
Oct 10, 2005
Last updated
Feb 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36563 TN Primary
Cardiovascular Disease Physician 207RC0000X 101237133 VA

Addresses

Primary practice location

701 N State of Franklin Rd Ste 2
Johnson City, TN 37604-3645

Mailing address

PO Box 5159
Johnson City, TN 37602-5159
Phone (423) 926-4468

Other identifiers 1

IdentifierTypeStateIssuer
010113652MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000955 TN Practitioner - Cardiovascular Disease (Cardiology) 7719942275 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karing Hearts Cardiology PCGroup PAC ID 9436567252, 14 clinicians

Practice addresses (Care Compare)

701 N State of Franklin Rd
Suite 2
Johnson City, TN 37604-3645
Phone (423) 926-4468

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair35
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36563TNMDPharmacist
101237133VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karing Hearts Cardiology Heart and Vascular Center Cardiovascular Disease CurrentSince Jan 24, 2025 Accepting new patients
Karing Hearts Cardiology, PLLC Cardiovascular Disease CurrentSince Feb 17, 2011 Accepting new patients
Karing Hearts Cardiology PC Cardiovascular Disease CurrentSince May 1, 2021 Accepting new patients
Johnson City Emergency Physicians, PC Past Accepting new patients
Appalachian Health Care, Inc Past Accepting new patients
Halifax Heart Center PC PastSince Jan 1, 2003 Accepting new patients

Locations

1503 W Elk Ave
Ste 3
Elizabethton, TN 37643
Phone (423) 542-3806

627 N Main Ave
Erwin, TN 37650
Phone (423) 735-3405

701 N State of Franklin Rd
Ste 2
Johnson City, TN 37604
Phone (423) 477-0600

701 N State of Franklin Rd
Ste 9
Johnson City, TN 37604
Phone (423) 850-0776

Organizations & group practices 6

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 6

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1245228675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5159",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025159",
            "telephone_number": "423-926-4468",
            "fax_number": "423-928-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N STATE OF FRANKLIN RD STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043645",
            "telephone_number": "423-926-4468",
            "fax_number": "423-928-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONDYKE",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "36563",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "101237133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010113652",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.