Individual
ROGER HAROLD SCHOENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2709 W 13TH ST, JOPLIN, MO 64801-3663
(417) 781-2220
(417) 781-5512
Mailing address
PO BOX 2220, JOPLIN, MO 64803-2220
(417) 781-7220
(417) 781-5512
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R7136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184950A
—
OK
05
—
100229850D
—
KS
01
—
1962834390
GROUP NPI
—
05
—
241978808
—
MO
01
—
MA4695
MEDICARE GROUP PTAN
—
01
—
MA4695001
MEDICARE PROVIDER PTAN
—
Enumeration date
07/13/2006
Last updated
10/15/2019
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