Corey Shawn Schoenewe, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3785 Issued in OK

Practice address

9912 E 21St St
Tulsa, OK 74129-1620

Phone

(918) 622-0641

Fax

(918) 622-4814

NPI assigned

Apr 4, 2006

Last updated

Jun 24, 2014By the provider in NPPES

Sex

Male

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: corey.schoenewe@133635819438084.direct.elationemr.com

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.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• East Texas Medical Center Pittsburg

  dba ETMC First Physicians Clinic Mount Vernon

  • Rural Health Clinic/Center
  • Mount Vernon, TX
  • NPI 1790897189
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1780646984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291620",
            "telephone_number": "918-622-0641",
            "fax_number": "918-622-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291620",
            "telephone_number": "918-622-0641",
            "fax_number": "918-622-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENEWE",
        "first_name": "COREY",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
            "identifier": "1275528085",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1275528085",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1275528085",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CHOICE POS",
            "identifier": "1275528085",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry S Schoeffler, DDS
• Lee E Schoeffler, M.D.
• Victoria Schoeffler, M.S., CCC-SLP
• Elizabeth Stoddart Schoeler, DO
• Dee Martin Schoemann, DDS
• Jacqueline Scholl, AU.D, CCC-A
• Scholle Chiropractic LLC
• Mitsuko Deana Scholle, D.C.
• Shantanell M Schooler
• Amanda Schooley

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.