Active NPI
Rebecca Joan Schoettle, M.D.
- Pediatrics Physician
- Portsmouth, OH
National Provider Identifier
1952306375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-04-8393
- Practice address
- 1735 27TH St
Suite 201
Portsmouth, OH 45662-2657 - Phone
- (740) 353-6500
- Fax
- (740) 354-5389
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-04-8393 | OH | Primary |
Addresses
Primary practice location
1735 27TH St
Suite 201
Portsmouth, OH 45662-2657
Mailing address
1735 27TH Street
Suite 201
Portsmouth, OH 45662-2657
Phone (740) 353-6500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65942898 | Medicaid | KY | |
| 000000359860 | Other | OH | ANTHEM BLUE CROSS/BLUE S |
| 000000359860 | Other | OH | BLUE CROSS BLUE SHIELD |
| 4316548 | Other | OH | AETNA |
| 0599213 | Medicaid | OH | |
| 201893650 | Other | OH | HEALTH NET FEDERAL SERVIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca J Schoettle Pediatrics Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Portsmouth, OH
- NPI 1174807697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1952306375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 27TH STREET",
"address_2": "SUITE 201",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622657",
"telephone_number": "740-353-6500",
"fax_number": "740-354-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 27TH ST",
"address_2": "SUITE 201",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622657",
"telephone_number": "740-353-6500",
"fax_number": "740-354-5389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOETTLE",
"first_name": "REBECCA",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-04-8393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65942898",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS/BLUE S",
"identifier": "000000359860",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000359860",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4316548",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0599213",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET FEDERAL SERVIC",
"identifier": "201893650",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.