Provider Demographics
NPI:1346291101
Name:SCHOONOVER, GEORGE ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ANDREW
Last Name:SCHOONOVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8773 PERIMETER PARK CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1165
Mailing Address - Country:US
Mailing Address - Phone:904-493-3390
Mailing Address - Fax:904-493-3395
Practice Address - Street 1:1361 13TH AVE S STE 245
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250
Practice Address - Country:US
Practice Address - Phone:904-493-7174
Practice Address - Fax:904-694-0696
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33021207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4045223OtherAETNA
FL02027OtherFLORIDA BLUE - INDIVIDUAL
FL1059961OtherCIGNA
FL0098365-00OtherFL MEDICAID - GROUP
FL039256100Medicaid
FL1346291101OtherUNITED HEALTHCARE
FLDT8174OtherRR MEDICARE - GROUP
FL004E6OtherFLORIDA BLUE - GROUP
FL40443OtherAVMED
FL6082OtherWELLCARE
FL40443OtherAVMED
D50297Medicare UPIN