Individual provider Active NPI

Stephanie Johniece Schofield, M.D.

  • Pediatrics Physician
  • Ada, OK
National Provider Identifier
1437563376
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24095 Issued in NH
Practice address
1921 Stonecipher Dr
Ada, OK 74820
Phone
(580) 436-3980
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 30753 OK
Pediatrics Physician 208000000X 24095 NH Primary

Addresses

Primary practice location

1921 Stonecipher Dr
Ada, OK 74820

Mailing address

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

Other practice location 1

250 Pleasant St
Concord, NH 03301-2598
Phone (603) 228-7200

Other names 1

  • Stephanie Johniece Wilburn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807000851 NH Practitioner - Pediatric Medicine 5294006094 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30753OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jun 24, 2023 Accepting new patients
Concord Hospital, Inc. CurrentSince Jun 24, 2023 Accepting new patients
Concord Hospital-Laconia Pediatrics CurrentSince Oct 1, 2023 Accepting new patients
Concord Hospital, Inc. Past Accepting new patients

Locations

8 Corporate Dr
Belmont, NH 03220
Phone (603) 524-3397

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

250 Pleasant St
Ste 6073
Concord, NH 03301
Phone 6032277000 ext. 3939

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1437563376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "580-436-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-436-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012598",
            "country_code": "US",
            "telephone_number": "603-228-7200",
            "fax_number": "603-227-7562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOFIELD",
        "first_name": "STEPHANIE",
        "middle_name": "JOHNIECE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "30753",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "24095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WILBURN",
            "middle_name": "JOHNIECE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.