Lyle J Vanderschaaf, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301070441 Issued in MI

Practice address

420 W Magnetic St
Suite ER
Marquette, MI 49855-2711

Phone

(888) 674-0854

Fax

(906) 225-3370

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Acquisition Bell Hospital LLC

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345
  Medicare reassignment NPD
• Bell Physician Practices Inc

  • Family Medicine Physician
  • Ishpeming, MI
  • NPI 1578992491
  Medicare reassignment NPD
• Acquisition Bell Hospital LLC

  • Anesthesiology Physician
  • Ishpeming, MI
  • NPI 1013789015
  NPD
• Bell Physician Practices Inc

  • Rural Health Clinic/Center
  • Ishpeming, MI
  • NPI 1114726676
  NPD
• Acquisition Bell Hospital LLC

  • Emergency Medicine Physician
  • Ishpeming, MI
  • NPI 1134901291
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1063497386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 DEPT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601220021",
            "telephone_number": "906-225-4821",
            "fax_number": "906-225-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAGNETIC ST",
            "address_2": "SUITE ER",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552711",
            "telephone_number": "888-674-0854",
            "fax_number": "906-225-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSCHAAF",
        "first_name": "LYLE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070441",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301070441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE #",
            "identifier": "4301070441",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Van Overloop
• Colin D Van, CADC
• Hendrik C Vandenende, MD
• Nina Rae Vandenende, NP
• Amy Vanderberg
• Susan Jean Vandewalle, LMT
• Christina A Vandezande, OT
• Alyssa Laura Vaniman
• James P. Vanlandschoot, DDS
• Tamara Lou Vanlandschoot, RN

• General Practice Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.