James L Schutzenhofer MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JAMES L SCHUTZENHOFER MD LLC

Practice address

1050 Martin Luther King Drive
Centralia, IL 62801

Phone

(618) 545-1705

Fax

(618) 545-1703

NPI assigned

Jul 6, 2006

Last updated

Aug 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Louis Schutzenhofer, MDNPI 1851392229

Title

MD

Phone

(618) 545-1705

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Louis Schutzenhofer, MD

  • Internal Medicine Physician
  • Centralia, IL
  • NPI 1851392229
  Medicare reassignment Care Compare group NPD Authorized official
• Karla Anne Schutzenhofer, APN

  • Adult Health Nurse Practitioner
  • Centralia, IL
  • NPI 1902172372
  Medicare reassignment Care Compare group NPD
• Ruth E Rakey, APN

  • Women's Health Nurse Practitioner
  • Centralia, IL
  • NPI 1669425526
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1861423659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MARTIN LUTHER KING DRIVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-545-1705",
            "fax_number": "618-545-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MARTIN LUTHER KING DRIVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-545-1705",
            "fax_number": "618-545-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L SCHUTZENHOFER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "SCHUTZENHOFER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "618-545-1705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "06132002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Insight Counseling & Wellness PLLC
• Laura Ann Irwin, M.S., LPC
• Lolita Isaiah
• J Franklin Whipps
• James B. Stiehl, MD, PC
• Laura Jansen, LCPC
• Johnson Vision Care, LLC
• Andrea Marie Johnson, PMHNP
• Donna Sue Johnson, OD
• Keith Johnson, LCPC

• Internal Medicine Physician in Centralia, IL
• Providers in Centralia, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.

Verify at the official NPI Registry.