Provider Demographics
NPI:1134153471
Name:SCHOENHOFF, DEBORAH D (MD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:D
Last Name:SCHOENHOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7285
Mailing Address - Country:US
Mailing Address - Phone:336-883-9675
Mailing Address - Fax:336-883-9728
Practice Address - Street 1:5710 HIGH POINT RD
Practice Address - Street 2:SUITE I
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-7061
Practice Address - Country:US
Practice Address - Phone:336-299-7000
Practice Address - Fax:336-299-7003
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9401488207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
18999OtherPARTNERS
0404334OtherUNITED HEALTHCARE
NC7489TOtherBLUE CROSS BLUE SHIELD
7640812OtherCIGNA
NC897489Medicaid
9302089OtherAETNA
0404334OtherUNITED HEALTHCARE
NC897489Medicaid