Provider Demographics
NPI:1245210590
Name:SCHONEFELD, MICHAEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:SCHONEFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:115 WRIGHTS ST C
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6240
Mailing Address - Country:US
Mailing Address - Phone:501-321-9803
Mailing Address - Fax:501-321-0710
Practice Address - Street 1:620 W GROVE ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-4462
Practice Address - Country:US
Practice Address - Phone:501-321-9803
Practice Address - Fax:501-321-0710
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARR4482207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR127708001Medicaid
ARG11426Medicare UPIN
AR127708001Medicaid