Henry W. Shoenthal, MD Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HENRY W. SHOENTHAL, MD INC

Practice address

4186 Cortland Dr
New Paris, PA 15554-7706

Phone

(814) 839-4108

Fax

(814) 839-4845

NPI assigned

Feb 4, 2016

Last updated

Nov 8, 2016By 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

Henry W Shoenthal, MDNPI 1063419414

Title

Owner

Phone

(814) 839-4108

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Orchard Valley Physician Services PLLC

  dba New Paris Rural Health Clinic

  • Rural Health Clinic/Center
  • New Paris, PA
  • NPI 1083377345

  Sold to, 2022-01-01

  CMS change of ownership

Practitioners 2

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.

• Henry Shoenthal, MD

  • Family Medicine Physician
  • New Paris, PA
  • NPI 1063419414
  Authorized official Same address or phone
• Amanda L Kreutzberger, PA-C

  • Physician Assistant
  • New Paris, PA
  • NPI 1245402593
  NPD

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1588022669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 CORTLAND DR",
            "address_2": "P.O. BOX 367",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155547706",
            "telephone_number": "814-839-4108",
            "fax_number": "814-839-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 CORTLAND DR",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155547706",
            "telephone_number": "814-839-4108",
            "fax_number": "814-839-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY W. SHOENTHAL, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "SHOENTHAL",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-839-4108",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group - New Paris)
• Ronald P Fetsko, PA-C
• Susan L Fluke
• Frank a Rezk (Penn Home Medical Supply Co., LLC)
• Alaina Royanne Heeter, CRNP
• Evangeline Hillegass, MD
• Matthew W Hillegass, MD
• Nicholas Todd Hyde, DMD
• Amanda L Kreutzberger, PA-C
• Randy Wayne Lasut Jr., CRNP FNP-C

• Rural Health Clinic/Center in New Paris, PA
• Providers in New Paris, PA by specialty
• Rural Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.