Provider Demographics
NPI:1245238351
Name:SCHOENHAUS, HAROLD D (DPM)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:D
Last Name:SCHOENHAUS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 SOUTH STREET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-8400
Mailing Address - Country:US
Mailing Address - Phone:215-546-1618
Mailing Address - Fax:215-546-9905
Practice Address - Street 1:1740 SOUTH STREET
Practice Address - Street 2:SUITE 500
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-8400
Practice Address - Country:US
Practice Address - Phone:215-546-1618
Practice Address - Fax:215-546-9905
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001395L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005069790003Medicaid
PABS5830749OtherDEA
NJA56727866OtherDEA
PAT27337Medicare UPIN
PA0005069790003Medicaid
PA0899730002Medicare NSC