Jean A Schoonover-Egolf, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35084458 Issued in OH

Practice address

11826 Gallia Pike Suite a
Wheelersburg, OH 45694

Phone

(740) 574-0600

Fax

(740) 574-2895

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Jean Ann Schoonover Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Personal Physician Services

  • Internal Medicine Physician
  • Wheelersburg, OH
  • NPI 1437378262
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1740211424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11826 GALLIA PIKE SUITE A",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "45694",
            "telephone_number": "740-574-0600",
            "fax_number": "740-574-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11826 GALLIA PIKE SUITE A",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "45694",
            "telephone_number": "740-574-0600",
            "fax_number": "740-574-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER-EGOLF",
        "first_name": "JEAN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35084458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0409576",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2540423",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PD0139394",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000337846",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "SCHOONOVER",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Amanda Gayle Schankweiler
• Raetta Jean Schenk
• John O'Gene Schwamburger, D.D.S
• Brian M Scott, CDCA
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• Selective Networking Inc. (Alternative Home Care)

• Internal Medicine Physician in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.