Individual provider Active NPI

Paul Joseph Schonbrun, D.O.

  • Emergency Medicine Physician
  • Fort Polk, LA
National Provider Identifier
1790903292
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
195593 Issued in NY
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

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
195593OtherNYNYS LICENSE
01541919MedicaidNY
1790903292OtherNYNPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140623002274 LA Practitioner - Emergency Medicine 6103857339 Reassigns benefits to 10 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO.00197LAMDEmergency Medicine Physician
195593NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Apr 30, 2014 Accepting new patients
Hodges Emergency Group, LLC Emergency Medicine CurrentSince Nov 4, 2019 Accepting new patients
Rapid Urgent Care, Inc CurrentSince Jul 26, 2021 Accepting new patients
Jena Ess Hospitalist LLC CurrentSince Sep 9, 2014 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Jul 26, 2021 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jul 10, 2018 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Jun 25, 2014 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jul 10, 2018 Accepting new patients
Oakdale Ess LLC Emergency Medicine CurrentSince Nov 15, 2023 Accepting new patients
Ess Hospitalist LLC CurrentSince Apr 30, 2014 Accepting new patients
Rapid Urgent Care, Inc. Current Accepting new patients
Jena Ess LLC Emergency Medicine CurrentSince Sep 9, 2014 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

  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.