MR. GARY J SCHOENROCK (NPI# 1699876854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699876854 |
| Entity Type | Individual |
| Full Name | MR. GARY J SCHOENROCK |
| Credential | MD |
| Practice Address |
3100 Tongass Ave Ketchikan AK 99901-5746 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 9072255237 |
| Practice Fax Number | 9072288496 |
| Mailing Telephone | 9072252255 |
| Mailing Fax Number | 9072288496 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD2316 | AK | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MD00025207 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD23162 | 05 |
| Street Address |
3100 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720250 | Alan L Christensen | Obstetrics & Gynecology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2005-06-16 |
| 1528544822 | Peacehealth Ketchikan Medical Center | Medicare Defined Swing Bed Unit | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2018-07-19 |
| 1710337381 | Ian Dobbe | Family Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-06-15 |
| 1073977443 | Michael Sheflo | Internal Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-04-11 |
| 1598144800 | Bryan Cothren | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1093145567 | Catherine Henderson | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2013-11-20 |
| 1003169434 | Urology Northwest, Ps | Urology | 3100 Tongass Ave, 3rd Floor Visiting Clinic, Ketchikan, AK 99901-5746 | 2012-10-23 |
| 1821374497 | Deborah M O'loane | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2011-10-27 |
| 1215239595 | Nes Washington, Inc. | Emergency Medicine | 3100 Tongass Ave, Ketchikan, AK 99901 | 2010-11-19 |
| 1447562921 | Victor Chen | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003169434 | Urology Northwest, Ps | Urology | 3100 Tongass Ave, 3rd Floor Visiting Clinic, Ketchikan, AK 99901-5746 | 2012-10-23 |
| 1083715262 | Southeast Urology Clinic A PC | Urology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897503 | Far North Urology & Research PC | Urology | 2120 Sonstrom Dr, Anchorage, AK 99517-1018 | 2020-09-25 |
| 1043727878 | Fairbanks Urology | Urology | 1905 Cowles St Ste B, Fairbanks, AK 99701-5914 | 2018-01-02 |
| 1790009645 | Southeast Urology LLC | Urology | 3227 Glacier Hwy, Juneau, AK 99801-7842 | 2010-03-22 |
| 1649211194 | Andre' S Godet | Urology | 3841 Piper St Ste T300, Anchorage, AK 99508-4624 | 2006-06-08 |
| 1124091939 | Robert C Allen Jr. | Urology | 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503-3902 | 2006-02-10 |
| 1336136936 | Alaska Women's Health Services, Inc | Urology | 4115 Lake Otis Pkwy, Anchorage, AK 99508-5213 | 2005-09-29 |
| 1538169321 | Greg O Lund | Urology | 2490 S Woodworth Loop 401, Palmer, AK 99645 | 2005-07-22 |
| 1366860314 | Bryan James Wilson | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2014-04-06 |
| 1861831273 | Elysia Sophia Spencer | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2013-06-19 |
| 1710246939 | Doug Cho | Urology | 5955 Zeamer Ave, Jber, AK 99506 | 2012-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. GARY J SCHOENROCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.