Provider Demographics
NPI:1558303529
Name:SCHOENECKER, DAVID K (CRNA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:K
Last Name:SCHOENECKER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2080 W ARLINGTON BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3770
Mailing Address - Country:US
Mailing Address - Phone:252-752-2140
Mailing Address - Fax:888-864-1737
Practice Address - Street 1:2825 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1075
Practice Address - Country:US
Practice Address - Phone:704-377-1647
Practice Address - Fax:704-358-8267
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC198646367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00284289OtherRAILROAD MEDICARE
NC8052157Medicaid
NCP00284289OtherRAILROAD MEDICARE
NC8052157Medicaid