Provider Demographics
NPI:1619915410
Name:SCHOEPPNER, W JOSEPH (DPM)
Entity Type:Individual
Prefix:
First Name:W JOSEPH
Middle Name:
Last Name:SCHOEPPNER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3333 MASSILLON RD STE 203
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5992
Mailing Address - Country:US
Mailing Address - Phone:330-899-9160
Mailing Address - Fax:330-899-9170
Practice Address - Street 1:3333 MASSILLON RD
Practice Address - Street 2:SUITE 203
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-5981
Practice Address - Country:US
Practice Address - Phone:330-899-9160
Practice Address - Fax:330-899-9170
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-2970-S213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000209328OtherUNISON
OH282724719011OtherMEDICAL MUTUAL OF OHIO
OH4701755OtherCIGNA
OH2009730Medicaid
OH341866609027OtherCARESOURSE
OH5129533OtherAETNA
OH000000361297OtherANTHEM
OH34186660900OtherBWC
OH729292OtherBCHP
OHQ005062OtherHOMETOWN HEALTH PLAN
OH2700953OtherEVERCARE
OHP00709858OtherRAILROAD MEDICARE
OHP00709858OtherRAILROAD MEDICARE
OH341866609027OtherCARESOURSE