Active NPI
Alfred John Schneider, M.D.
- Surgery Physician
- Clinton Township, MI
National Provider Identifier
1154486637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301044326
- Practice address
- 43331 Commons Dr
Clinton Township, MI 48038-1109 - Phone
- (586) 263-5410
- Fax
- (586) 263-7131
- NPI assigned
- Dec 26, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301044326 | MI | Primary |
Addresses
Primary practice location
43331 Commons Dr
Clinton Township, MI 48038-1109
Mailing address
43331 Commons Dr
Clinton Township, MI 48038-1109
Phone (586) 263-5410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3426530 | Medicaid | MI | |
| 1316031339 | Other | MI | GROUP NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | surg6@sbcglobal.net | 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301044326 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Macomb, PLC | Surgery | Current | Accepting new patients |
Locations
43331 Commons Dr
Clinton Twp, MI 48038
Phone (586) 263-5410
43351 Commons Dr
Clinton Twp, MI 48038
Phone (586) 228-2303
Interoperability endpoints
- aschneider57086@direct.hfhs.org
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.
-
- Surgery Physician
- Clinton Township, MI
- NPI 1316031339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1154486637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43331 COMMONS DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381109",
"telephone_number": "586-263-5410",
"fax_number": "586-263-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43331 COMMONS DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381109",
"telephone_number": "586-263-5410",
"fax_number": "586-263-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "ALFRED",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301044326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3426530",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1316031339",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "surg6@sbcglobal.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "43331 Commons Dr",
"city": "Clinton Township",
"state": "MI",
"country_code": "US",
"postal_code": "480381109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.