Healthcare Provider Details

I. General information

NPI: 1255366902
Provider Name (Legal Business Name): JOYCE A SCHOFIELD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20805 W 151ST ST SUITE 224
OLATHE KS
66061-7249
US

IV. Provider business mailing address

20805 W 151ST ST SUITE 224
OLATHE KS
66061-7249
US

V. Phone/Fax

Practice location:
  • Phone: 913-782-8300
  • Fax: 913-782-1574
Mailing address:
  • Phone: 913-782-8300
  • Fax: 913-782-1574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number04-31944
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier200408210A
Identifier TypeMEDICAID
Identifier StateKS
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: