Active NPI
Matthew J Schoenrock, PA-C
- Medical Physician Assistant
- Lincoln, NE
National Provider Identifier
1629125026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 539
- Practice address
- 4451 N 26TH St
Suite 1000
Lincoln, NE 68521-4142 - Phone
- (402) 476-2600
- Fax
- (402) 476-2604
- NPI assigned
- Jan 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 539 | NE | Primary |
Addresses
Primary practice location
4451 N 26TH St
Suite 1000
Lincoln, NE 68521-4142
Mailing address
4451 N 26TH St
Suite 1000
Lincoln, NE 68521-4142
Phone (402) 476-2600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 539 | NE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1629125026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4451 N 26TH ST",
"address_2": "SUITE 1000",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685214142",
"telephone_number": "402-476-2600",
"fax_number": "402-476-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4451 N 26TH ST",
"address_2": "SUITE 1000",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685214142",
"telephone_number": "402-476-2600",
"fax_number": "402-476-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENROCK",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.