Active NPI
Michael James Schwartz, ATC, LAT, MBA
- Athletic Trainer
- Cedar Rapids, IA
National Provider Identifier
1104291970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 087735
- Practice address
- 3235 Williams Pkwy SW
Cedar Rapids, IA 52404-1427 - Phone
- (319) 364-2311
- NPI assigned
- Dec 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 087735 | IA | Primary |
Addresses
Primary practice location
3235 Williams Pkwy SW
Cedar Rapids, IA 52404-1427
Mailing address
4915 Montclair Dr NW
Cedar Rapids, IA 52405-2829
Phone (309) 299-5433
Other practice location 1
1205 Potter Dr
Colorado Springs, CO 80909-6908
Phone (719) 328-6703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087735 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spanda Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Health Clinic/Center
- Cedar Rapids, IA
- NPI 1124282637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1104291970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 MONTCLAIR DR NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524052829",
"telephone_number": "309-299-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 WILLIAMS PKWY SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524041427",
"telephone_number": "319-364-2311"
}
],
"practiceLocations": [
{
"address_1": "1205 Potter Dr",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809096908",
"country_code": "US",
"telephone_number": "719-328-6703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "ATC, LAT, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-04",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "087735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.