Basic Information
Provider Information
NPI: 1013023530
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOENEMANN
FirstName: MARGARET
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 MONARCH PL FL 10
Address2: ACCOUNTABLE CARE PRACTICE SERVICES
City: SPRINGFIELD
State: MA
PostalCode: 011441099
CountryCode: US
TelephoneNumber: 4137342000
FaxNumber: 4137348000
Practice Location
Address1: 1 MONARCH PL FL 10
Address2: ACCOUNTABLE CARE PRACTICE SERVICES
City: SPRINGFIELD
State: MA
PostalCode: 011441099
CountryCode: US
TelephoneNumber: 4137342000
FaxNumber: 4137348000
Other Information
ProviderEnumerationDate: 08/21/2006
LastUpdateDate: 08/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XRN162994MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

ID Information
IDTypeStateIssuerDescription
032868505MA MEDICAID


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