Active NPI
Jeffrey A Schoen, DPM
- Podiatrist
- Orange Park, FL
National Provider Identifier
1598826968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3476
- Practice address
- 1635 Eagle Harbor Pkwy
Suite 5
Orange Park, FL 32003-4827 - Phone
- (904) 384-2240
- Fax
- (904) 385-7777
- NPI assigned
- Dec 12, 2006
- Last updated
- Dec 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P0596 | DC | |
| Podiatrist | 213E00000X | 0101100862 | VA | |
| Podiatrist | 213E00000X | 01278 | MD | |
| Podiatrist | 213E00000X | PO3476 | FL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3476 | FL |
Addresses
Primary practice location
1635 Eagle Harbor Pkwy
Suite 5
Orange Park, FL 32003-4827
Mailing address
915 W Monroe St
Suite 200
Jacksonville, FL 32204-1177
Phone (904) 384-2240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80076 | GA | MD | Obstetrics & Gynecology Physician |
| P0596 | DC | MD | Podiatrist |
| 0101100862 | VA | MD | Podiatrist |
| 01278 | MD | MD | Hand Occupational Therapist |
Organizations & group practices 2
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.
-
- Podiatrist
- Middleburg, FL
- NPI 1033559257
-
- Customized Equipment (DME)
- Orange Park, FL
- NPI 1447520747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1598826968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 W MONROE ST",
"address_2": "SUITE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041177",
"telephone_number": "904-384-2240",
"fax_number": "904-384-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 EAGLE HARBOR PKWY",
"address_2": "SUITE 5",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320034827",
"telephone_number": "904-384-2240",
"fax_number": "904-385-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEN",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "DC",
"license": "P0596",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0101100862",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "01278",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3476",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3476",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.