Basic Information
Provider Information
NPI: 1942529151
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOENHERR
FirstName: JAY
MiddleName: WILLIAM
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNC HOSPITALS
Address2: CB 7010 N2201
City: CHAPEL HILL
State: NC
PostalCode: 275990001
CountryCode: US
TelephoneNumber: 9199665136
FaxNumber: 9199664873
Practice Location
Address1: UNC HOSPITALS
Address2: CB 7010 N2201
City: CHAPEL HILL
State: NC
PostalCode: 275990001
CountryCode: US
TelephoneNumber: 9199665136
FaxNumber: 9199664873
Other Information
ProviderEnumerationDate: 05/27/2010
LastUpdateDate: 10/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X2012-00103NCY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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