Active NPI
Jeremiah Donald Schuur, MD
- Emergency Medicine Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD11568
- Practice address
- 593 Eddy Street
Claverick 2
Providence, RI 02903-4923 - Phone
- (401) 444-4000
- NPI assigned
- Jul 18, 2006
- Last updated
- Jan 25, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 043323 | CT | |
| Emergency Medicine Physician | 207P00000X | 231393 | MA | |
| Emergency Medicine Physician | 207P00000X | MD11568 | RI | Primary |
Addresses
Primary practice location
593 Eddy Street
Claverick 2
Providence, RI 02903-4923
Mailing address
PO Box 9484
Providence, RI 02940-9484
Phone (401) 854-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001433234 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 General St
Lawrence, MA 01841-2961
Phone 97868340002979
70 E St
FL 1
Methuen, MA 01844-4597
Phone (978) 682-2310
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043323 | CT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Lawrence General Hospital | Current | Accepting new patients | |
| Lawrence General Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Lawrence General Hospital | Emergency Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients |
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
70 East St
Fl 1
Methuen, MA 01844
Phone (978) 682-2310
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lawrence, MA
- NPI 1144544040
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
Emergency Medicine
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
TX
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
-
- General Acute Care Hospital
- Teec Nos Pos, AZ
- NPI 1477615789
-
dba LGH Vaccination Clinic
- Allergy & Immunology Physician
- Lawrence, MA
- NPI 1881272102
-
- Mammography Clinic/Center
- Methuen, MA
- NPI 1922514744
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
dba Merrimack Health Methuen Hospital
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1285653816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9484",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029409484",
"telephone_number": "401-854-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY STREET",
"address_2": "CLAVERICK 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUUR",
"first_name": "JEREMIAH",
"middle_name": "DONALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "043323",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "231393",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD11568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001433234",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.