Active NPI
Matthew R Schurman, LMSW
- Social Worker
- Ottawa, KS
National Provider Identifier
1114295060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW 8378
- Practice address
- 2537 Eisenhower Rd
Ottawa, KS 66067-9482 - Phone
- (785) 242-3780
- Fax
- (785) 242-6397
- NPI assigned
- Dec 7, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW 8378 | KS | Primary |
Addresses
Primary practice location
2537 Eisenhower Rd
Ottawa, KS 66067-9482
Mailing address
PO Box 677
Ottawa, KS 66067-0677
Phone (785) 242-3780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200749230A | Medicaid | KS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW 8378 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Layton Center, Inc. | Past | Accepting new patients | |
| Elizabeth Layton Center, Inc. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ottawa, KS
- NPI 1649296757
-
- Community/Behavioral Health Agency
- Ottawa, KS
- NPI 1972209732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336953600000",
"number": "1114295060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 677",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660670677",
"telephone_number": "785-242-3780",
"fax_number": "785-242-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2537 EISENHOWER RD",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660679482",
"telephone_number": "785-242-3780",
"fax_number": "785-242-6397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHURMAN",
"first_name": "MATTHEW",
"middle_name": "R",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-07",
"last_updated": "2012-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "LMSW 8378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200749230A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.