Edwin Dale Schoonover, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD17602 Issued in TN

Practice address

1731 Memorial Dr
Suite 110
Clarksville, TN 37043-4523

Phone

(931) 221-2179

Fax

(931) 221-2173

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528077013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DAWSON RD",
            "city": "CUMBERLAND FURNACE",
            "state": "TN",
            "postal_code": "370519001",
            "telephone_number": "931-387-3730",
            "fax_number": "931-387-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 MEMORIAL DR",
            "address_2": "SUITE 110",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434523",
            "telephone_number": "931-221-2179",
            "fax_number": "931-221-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "EDWIN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "MD17602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lee Schmitt, LPC-MHSP
• Steven Todd Schmitt, D.M.D.
• Gabrielle Paige Schmittou
• Lauren Gelsomini Schneider, CCC-SLP
• Phillip Schneider, MD
• Amanda Schorr, SLPA
• Stephan N Schott, D.O.
• Laurie A Schroder, PT
• Maureen Schroettner, FNP-C
• Lara Schultz, MS, BCBA

• Adult Medicine Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Adult Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.