Individual provider Active NPI

Matthew Alan Schymick, PA-C

  • Physician Assistant
  • Brighton, MI
National Provider Identifier
1003548322
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011200 Issued in MI
Practice address
2305 Genoa Business Park Dr Ste 170
Brighton, MI 48114-7005
Phone
(810) 299-8550
Fax
(810) 844-0837
NPI assigned
Jun 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011200 MI Primary

Addresses

Primary practice location

2305 Genoa Business Park Dr Ste 170
Brighton, MI 48114-7005

Mailing address

2305 Genoa Business Park Dr Ste 170
Brighton, MI 48114-7005
Phone (810) 299-8550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lfarjo@advancedortho1.direct.emds.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809001372 MI Practitioner - Physician Assistant 7113309048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedic Specialists, PCGroup PAC ID 4981697976, 11 clinicians

Practice addresses (Care Compare)

2305 Genoa Business Park Dr
Suite 170
Brighton, MI 48114-7005
Phone (810) 299-8550

Hospital & facility affiliations

  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601011200MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic Specialists PC PastSince Jul 3, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lfarjo@advancedortho1.direct.emds.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1003548322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DR STE 170",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147005",
            "telephone_number": "810-299-8550",
            "fax_number": "810-844-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DR STE 170",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147005",
            "telephone_number": "810-299-8550",
            "fax_number": "810-844-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHYMICK",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfarjo@advancedortho1.direct.emds.com",
            "affiliation": "N",
            "endpointDescription": "direct emailllll",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2305 Genoa Business Park Dr Ste 170",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481147005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.