Organization Active NPI

SCH Professional Corporation

  • Family Medicine Physician
  • Salem, OH
National Provider Identifier
1619959822
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCH PROFESSIONAL CORPORATION
Practice address
1995 E State St
Salem, OH 44460-2423
Phone
(330) 332-7524
Fax
(330) 332-7724
NPI assigned
Nov 15, 2005
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Ms. Renee Durbin
Title
Revenue Cycle Manager
Phone
(330) 332-7659

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Gastroenterology Physician 207RG0100X
Orthopaedic Surgery Physician 207X00000X
Otolaryngology Physician 207Y00000X
Pediatrics Physician 208000000X
Plastic Surgery Physician 208200000X
Neurology Physician 2084N0400X
Diagnostic Radiology Physician 2085R0202X
Surgery Physician 208600000X
Hospitalist Physician 208M00000X
Pain Medicine Physician 208VP0000X
Oncology Clinic/Center 261QX0200X

Addresses

Primary practice location

1995 E State St
Salem, OH 44460-2423

Mailing address

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-7524

Other identifiers 1

IdentifierTypeStateIssuer
0969466MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA, TX, FL, IL, NJ, KY7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20040520000126 OH Part B Supplier - Clinic/Group Practice 0941291868 Receives reassigned benefits from 65 practitioners
Practice locations: North Jackson, OH; Salem, OH; Youngstown, OH; Calcutta, OH; Kensington, OH; Lisbon, OH; Canfield, OH; Columbiana, OH…
O20230822001207 CA Part B Supplier - Clinic/Group Practice 0941291868 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA; Sherman Oaks, CA
O20230907004403 TX Part B Supplier - Clinic/Group Practice 0941291868 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX; Spring, TX; Houston, TX
O20230911003323 FL Part B Supplier - Clinic/Group Practice 0941291868 Receives reassigned benefits from 2 practitioners
Practice locations: Doral, FL; Weston, FL
O20231017003016 IL Part B Supplier - Clinic/Group Practice 0941291868 Receives reassigned benefits from 3 practitioners
Practice locations: Oak Park, IL
O20240529001733 NJ Part B Supplier - Clinic/Group Practice 0941291868 Receives reassigned benefits from 1 practitioner
Practice locations: Teaneck, NJ
O20241107002868 KY Part B Supplier - Clinic/Group Practice 0941291868 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5002 Millenial Ln
Canfield, OH 44406
Phone (330) 227-6761

400 Town Center Ave
Ste 100
Columbiana, OH 44408
Phone (330) 332-7383

400 Town Center Ave
Ste 300
Columbiana, OH 44408
Phone (330) 332-7214

400 Town Center Ave
Ste 301
Columbiana, OH 44408
Phone (330) 482-3871

750 E Park Ave
Ste A
Columbiana, OH 44408
Phone (330) 337-8709

750 E Park Ave
Ste D
Columbiana, OH 44408
Phone (330) 482-1960

38506 Saltwell Rd
Lisbon, OH 44432
Phone (330) 424-1404

11993 South Ave
North Lima, OH 44452
Phone (330) 482-9396

1076 E State St
Salem, OH 44460
Phone (330) 332-2710

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

1995 E State St
#1
Salem, OH 44460

1995 E State St
Fl 1
Salem, OH 44460

2020 E State St
Ste B
Salem, OH 44460
Phone (330) 332-7126

2020 E State St
Ste C
Salem, OH 44460
Phone (330) 332-0084

2020 E State St
Ste G
Salem, OH 44460
Phone (330) 332-7685

2020 E State St
Ste H
Salem, OH 44460
Phone (330) 337-8709

2094 E State St
Ste D
Salem, OH 44460
Phone (330) 332-7220

2235 E Pershing St
Salem, OH 44460
Phone (330) 332-7803

2525 Southeast Blvd
Salem, OH 44460
Phone (330) 332-7524

910 Boardman Canfield Rd
Ste A
Youngstown, OH 44512
Phone (330) 965-0832

910 Boardman Canfield Rd
Ste B
Youngstown, OH 44512
Phone (330) 965-0075

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Salem Regional Medical CenterSalem, OH, CCN 360185 Hospital Operational/Managerial Control May 22, 2006
Salem Regional Medical CenterSalem, OH, CCN 36U185 Hospital Operational/Managerial Control May 22, 2006

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 131

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.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1619959822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-332-7524",
            "fax_number": "330-332-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-332-7524",
            "fax_number": "330-332-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCH PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "330-332-7659",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0969466",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.