Healthcare Provider Details

I. General information

NPI: 1952960791
Provider Name (Legal Business Name): JOSHUA MICHAEL SCHOEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4716 ALDERBROOK LN
DURHAM NC
27713-6562
US

IV. Provider business mailing address

PO BOX 51483
DURHAM NC
27717-1483
US

V. Phone/Fax

Practice location:
  • Phone: 864-918-1435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number260463
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: