Active NPI
Dr Douglas C Shoenberger, PC
- Family Medicine Physician
- Coopersburg, PA
National Provider Identifier
1790902427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD044386E
- Legal business name
- DR DOUGLAS C SHOENBERGER, PC
- Practice address
- 101 S Main St
Suite 101
Coopersburg, PA 18036-1912 - Phone
- (610) 282-1170
- Fax
- (610) 282-0256
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber L Wuesthoff
- Title
- Office Manager
- Phone
- (610) 282-1170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD044386E | PA | Primary |
Addresses
Primary practice location
101 S Main St
Suite 101
Coopersburg, PA 18036-1912
Mailing address
101 S Main St
Suite 101
Coopersburg, PA 18036-1912
Phone (610) 282-1170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1198777 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Coopersburg, PA
- NPI 1033183983
-
- Medical Physician Assistant
- Allentown, PA
- NPI 1811548126
-
- Cardiovascular Disease Physician
- Bethlehem, PA
- NPI 1992891485
-
- Family Nurse Practitioner
- Allentown, PA
- NPI 1043366875
-
- Family Medicine Physician
- Allentown, PA
- NPI 1821839077
-
- Clinical Electrophysiology Physical Therapist
- Allentown, PA
- NPI 1407897408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364169600000",
"number": "1790902427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S MAIN ST",
"address_2": "SUITE 101",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180361912",
"telephone_number": "610-282-1170",
"fax_number": "610-282-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S MAIN ST",
"address_2": "SUITE 101",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180361912",
"telephone_number": "610-282-1170",
"fax_number": "610-282-0256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR DOUGLAS C SHOENBERGER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2013-03-25",
"status": "A",
"authorized_official_last_name": "WUESTHOFF",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "610-282-1170"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "MD044386E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1198777",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coopersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.