Individual provider Active NPI

John Steven Schultz, MD

  • Physical Medicine & Rehabilitation Physician
  • Grand Blanc, MI
National Provider Identifier
1124100029
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301405898 Issued in MI
Practice address
4632 Genesys Parkway
Medical Rehabilitation Group PC
Grand Blanc, MI 48439-8067
Phone
(810) 606-7181
Fax
(810) 606-7174
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301405898 MI Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301405898 MI

Addresses

Primary practice location

4632 Genesys Parkway
Medical Rehabilitation Group PC
Grand Blanc, MI 48439-8067

Mailing address

4632 Genesys Parkway
Medical Rehabilitation Group PC
Grand Blanc, MI 48439-8067
Phone (810) 606-7181

Other identifiers 1

IdentifierTypeStateIssuer
1997808MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000485 MI Practitioner - Physical Medicine and Rehabilitation 2365527215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Michigan Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Rehabilitation Group PCGroup PAC ID 2860484888, 6 clinicians

Practice addresses (Care Compare)

4632 Genesys Pkwy
Grand Blanc, MI 48439-8067
Phone (810) 606-7181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301405898MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Rehabilitation Group PC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2008 Accepting new patients
Integrative Spine and Pain Management, PLLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2008 Accepting new patients

Locations

12851 Grand River Rd
Brighton, MI 48116
Phone (810) 225-2506

4632 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-7181

Interoperability endpoints

  • Direct secure messaging: jschultz1150602@direct.hfhs.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1124100029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 GENESYS PARKWAY",
            "address_2": "MEDICAL REHABILITATION GROUP PC",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398067",
            "telephone_number": "810-606-7181",
            "fax_number": "810-606-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 GENESYS PARKWAY",
            "address_2": "MEDICAL REHABILITATION GROUP PC",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398067",
            "telephone_number": "810-606-7181",
            "fax_number": "810-606-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301405898",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301405898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1997808",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.