NPIMap

Individual provider Active NPI

Stephan J Schomer, MD

  • Cardiovascular Disease Physician
  • Washington, IA
National Provider Identifier
1700866886
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
26660 Issued in IA
Practice address
444 E Polk St
Washington, IA 52353-1237
Phone
(319) 653-6601
Fax
(319) 653-5624
NPI assigned
Jan 17, 2006
Last updated
May 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 26660 IA Primary

Addresses

Primary practice location

444 E Polk St
Washington, IA 52353-1237

Mailing address

444 E Polk St
Washington, IA 52353-1237
Phone (319) 653-6601

Other identifiers 5

IdentifierTypeStateIssuer
CA3899OtherRR MEDICARE GROUP
54383OtherWELLMARK
060036494OtherRR MEDICARE
1050336MedicaidIA
71960OtherMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060717000153 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133169238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County HospitalGroup PAC ID 2062329931, 39 clinicians

Practice addresses (Care Compare)

400 E Polk St
Washington, IA 52353-1237
Phone (319) 653-5481

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26660IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital Current Accepting new patients
Mercy Hospital, Iowa City, Iowa Cardiovascular Disease CurrentSince Jan 1, 2006 Accepting new patients
Washington County Hospital Cardiovascular Disease CurrentSince May 1, 2015 Accepting new patients
Washington County Hospital Past Accepting new patients

Locations

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

540 E Jefferson St
Ste 400
Iowa City, IA 52245
Phone (319) 339-3400

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/washin-6836dd27

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Washington County Hospital and ClinicsWashington, IA, CCN 161344 Hospital Contracted Managing Employee
Corporate Officer		 Mar 30, 2015
Mar 30, 2015
Washington County Hospital and ClinicsWashington, IA, CCN 16Z344 Hospital Corporate Officer
W-2 Managing Employee		 Mar 30, 2015
Mar 30, 2015
Washington County Hospital and Clinics Family MedicineWashington, IA, CCN 168567 Rural health clinic Corporate Officer
W-2 Managing Employee		 Mar 30, 2015
Mar 30, 2015
Washington County Hospital and Clinics McCreedy Medical ClinicWashington, IA, CCN 168568 Rural health clinic Corporate Officer
W-2 Managing Employee		 Mar 30, 2015
Mar 30, 2015
Washington County Hospital and Clinics Columbus Junction ClinicColumbus Junction, IA, CCN 168654 Rural health clinic Corporate Officer
W-2 Managing Employee		 Mar 30, 2015
Mar 30, 2015
WCHC Mediapolis ClinicMediapolis, IA, CCN 168674 Rural health clinic Corporate Director
W-2 Managing Employee		 Mar 30, 2015
Mar 30, 2015

Owned or controlled facilities with NPI records 8

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

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1700866886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-653-6601",
            "fax_number": "319-653-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-653-6601",
            "fax_number": "319-653-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOMER",
        "first_name": "STEPHAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "26660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CA3899",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "54383",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060036494",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1050336",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "71960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

Verify at the official NPI Registry.