Provider Demographics
NPI:1912081159
Name:SCHOELEN, STEVE LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:LOUIS
Last Name:SCHOELEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 892398
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73189-2398
Mailing Address - Country:US
Mailing Address - Phone:405-387-4546
Mailing Address - Fax:405-387-4551
Practice Address - Street 1:300 BY PASS RD
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:OK
Practice Address - Zip Code:73065-6392
Practice Address - Country:US
Practice Address - Phone:405-387-4546
Practice Address - Fax:405-387-4551
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK17719207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK17782OtherOKLAHOMA BUREAU OF NARCOTICS REGISTRATION NUMBER
OK17719OtherOK STATE LICENSE NUMBER
OK100107900AMedicaid
OK100107900AMedicaid
OK$$$$$$$$$002OtherBLUECROSS BLUESHIELD OF OKLAHOMA
OK100107900AMedicaid
OKF99300Medicare UPIN