Active NPI
Mark Steven Schoen, ATC, CSCS
- Athletic Trainer
- Waxhaw, NC
National Provider Identifier
1962531368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL2161
- Practice address
- 8708 Willow Creek CT
Waxhaw, NC 28173-6561 - Phone
- (941) 955-6501
- NPI assigned
- Mar 4, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL2161 | FL | Primary |
Addresses
Primary practice location
8708 Willow Creek CT
Waxhaw, NC 28173-6561
Mailing address
8708 Willow Creek CT
Waxhaw, NC 28173-6561
Phone (941) 685-4393
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL2161 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585958400000",
"number": "1962531368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8708 WILLOW CREEK CT",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736561",
"telephone_number": "941-685-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8708 WILLOW CREEK CT",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736561",
"telephone_number": "941-955-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEN",
"first_name": "MARK",
"middle_name": "STEVEN",
"credential": "ATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-04",
"last_updated": "2020-04-04",
"certification_date": "2020-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL2161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.