Active NPI
Paul Joseph Schonbrun, D.O.
- Emergency Medicine Physician
- Fort Polk, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 195593
- Practice address
- 1585 3Rd St
Emergency Department
Fort Polk, LA 71459-5102 - Phone
- (337) 531-3368
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 195593 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | DO.00197 | LA |
Addresses
Primary practice location
1585 3Rd St
Emergency Department
Fort Polk, LA 71459-5102
Mailing address
224 George Drive
Deridder, LA 70634-6053
Phone (845) 399-0034
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195593 | Other | NY | NYS LICENSE |
| 01541919 | Medicaid | NY | |
| 1790903292 | Other | NY | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.00197 | LA | MD | Emergency Medicine Physician |
| 195593 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Staffing Solutions Inc | Emergency Medicine | Current | Accepting new patients |
| Hodges Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Rapid Urgent Care, Inc | Current | Accepting new patients | |
| Jena Ess Hospitalist LLC | Current | Accepting new patients | |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Concord North Texas, PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Oakdale Ess LLC | Emergency Medicine | Current | Accepting new patients |
| Ess Hospitalist LLC | Current | Accepting new patients | |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Jena Ess LLC | Emergency Medicine | Current | Accepting new patients |
| Community Health Association | Past | Accepting new patients | |
| Adirondack Emergency Medicine, PC | Emergency Medicine | Past | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
110 W 4th St
Dequincy, LA 70633
Phone (337) 363-9470
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
187 Ninth St
Jena, LA 71342
Phone (318) 992-9200
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
240 Highland Dr
Many, LA 71449
Phone (318) 256-5691
900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
Interoperability endpoints
- pasc7684@yourcarecommunity.org
Organizations & group practices 15
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.
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1215987441
-
- Emergency Medicine Physician
- Many, LA
- NPI 1477590974
-
- Emergency Medicine Physician
- Many, LA
- NPI 1710441316
-
- Internal Medicine Physician
- Jena, LA
- NPI 1144635020
-
- Emergency Medicine Physician
- Jena, LA
- NPI 1235544115
-
- Emergency Medicine Physician
- Oakdale, LA
- NPI 1750785119
-
- Urgent Care Clinic/Center
- Mandeville, LA
- NPI 1285970780
-
- Urgent Care Clinic/Center
- Metairie, LA
- NPI 1104272863
-
- Urgent Care Clinic/Center
- Albany, LA
- NPI 1467085530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1790903292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 GEORGE DRIVE",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706346053",
"telephone_number": "845-399-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 3RD ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714595102",
"telephone_number": "337-531-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHONBRUN",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "195593",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "DO.00197",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "195593",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01541919",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1790903292",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Polk, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.