Basic Information
| Provider Information | |||||||||
| NPI: | 1588646632 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOORENS | ||||||||
| FirstName: | CATHY | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1725 MENDON RD | ||||||||
| Address2: | SUITE 207 | ||||||||
| City: | CUMBERLAND | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028644337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4013342423 | ||||||||
| FaxNumber: | 4013349808 | ||||||||
| Practice Location | |||||||||
| Address1: | 106 NATE WHIPPLE HWY | ||||||||
| Address2: | |||||||||
| City: | CUMBERLAND | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028641403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4016582020 | ||||||||
| FaxNumber: | 4016583612 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2005 | ||||||||
| LastUpdateDate: | 04/22/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD11616 | RI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 7057734 | 05 | RI | MEDICAID |