Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul Schoeneberger, PA

Individual provider Physician Assistant · NPI 1508697608

Paul Schoeneberger, PA is a Physician Assistant in Payson, Arizona. Qualified in 2024, 2 years ago. Practices with Ponderosa Family Care LLC, a 12-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

708 S Coeur D Alene Ln Ste B
Payson, AZ 85541-5662
Phone: (928) 468-8603
Fax: (928) 468-8625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1508697608
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 10, 2024
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address708 S Coeur D Alene Ln Ste B, Payson, AZ 85541-5662

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ponderosa Family Care Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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