Kenton W Schoonover, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

27772 Issued in KS

Practice address

10111 E 21St St N Ste 305
Wichita, KS 67206-3581

Phone

(316) 305-9618

Fax

(316) 440-9701

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Plastic Surgery LLCGroup PAC ID 8628359346, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas Surgery & Recovery Center Hospital, Wichita, KS, CCN 170183

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kansas Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1720523251
  Medicare reassignment Care Compare group NPD Authorized official
• Heartland Dermatology and Skin Cancer Center, PA

  • Dermatology Physician
  • Salina, KS
  • NPI 1538135207
  NPD (past)
• Shaw Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1174973606
  NPD (past)

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

• Kansas Surgery & Recovery Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1306827878
  Care Compare affiliation

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1780611178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N STE 305",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063581",
            "telephone_number": "316-305-9618",
            "fax_number": "316-440-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N STE 305",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063581",
            "telephone_number": "316-305-9618",
            "fax_number": "316-440-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "KENTON",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KS",
            "license": "27772",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "27772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kansasplasticsurgery@protonmail.com",
            "affiliation": "N",
            "address_1": "10111 E 21st St N Ste 305",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasmine Schomaker, RN
• Connor Schommer
• David Martin Schonberg
• Kimberly Marie Schonborn, COTA/L
• Hailee Schooler
• Rachel Schoonover, DPT
• Jade Schopplein
• Roberta Rose Schouten, LMFT,LMAC
• Autumn L Schowalter, LCP
• Nita M Schrader, CPTA

• Plastic Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.