Individual provider Active NPI

George R Schoedinger III, M.D.

  • General Practice Physician
  • Saint Charles, MO
National Provider Identifier
1992755383
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R2700 Issued in MO
Practice address
2621 Raymond Dr
Saint Charles, MO 63301-4872
Phone
(636) 946-2244
Fax
(636) 946-6975
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R2700 MO
General Practice Physician 208D00000X R2700 MO Primary

Addresses

Primary practice location

2621 Raymond Dr
Saint Charles, MO 63301-4872

Mailing address

2621 Raymond Dr
Saint Charles, MO 63301-4872
Phone (636) 946-2244

Other practice location 1

6 Babler Ln
Saint Louis, MO 63124-1107
Phone (314) 303-1205

Other identifiers 7

IdentifierTypeStateIssuer
200021213OtherMORAILROAD MEDICARE
42664OtherMOGROUP HEALTH PLAN
101361OtherMOHEALTHLINK
18055OtherMOBLUE CROSS BLUE SHIELD
4000966OtherMOAETNA
3437623002OtherMOCIGNA
201356102MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070517000086 MO Practitioner - Orthopedic Surgery 5890605604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Health Centers PCGroup PAC ID 4981681467, 5 clinicians

Practice addresses (Care Compare)

2621 Raymond Dr
Saint Charles, MO 63301-4872
Phone (636) 946-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2700MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Labpro Diagnostics Inc. Current Accepting new patients
Labpro Diagnostics Inc. Current Accepting new patients
The Health Centers, P.C. CurrentSince Apr 27, 2020 Accepting new patients
St Clair Orthopedics, SC Orthopaedic Surgery Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
St Clair Orthopedics, SC Past Accepting new patients

Locations

2621 Raymond Dr
Saint Charles, MO 63301
Phone (636) 946-2244

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1992755383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 RAYMOND DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014872",
            "telephone_number": "636-946-2244",
            "fax_number": "366-946-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 RAYMOND DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014872",
            "telephone_number": "636-946-2244",
            "fax_number": "636-946-6975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Babler Ln",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631241107",
            "country_code": "US",
            "telephone_number": "314-303-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOEDINGER",
        "first_name": "GEORGE",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R2700",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R2700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200021213",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "42664",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "101361",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18055",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4000966",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3437623002",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201356102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.