NPIMap

Individual provider Active NPI

Mark Schaaf, D.O.

  • Family Medicine Physician
  • Mount Morris, MI
National Provider Identifier
1306932611
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MS013800 Issued in MI
Practice address
4485 E Mount Morris Rd
Mount Morris, MI 48458-8963
Phone
(810) 640-1942
Fax
(810) 640-1942
NPI assigned
Oct 5, 2006
Last updated
May 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MS013800 MI Primary

Addresses

Primary practice location

4485 E Mount Morris Rd
Mount Morris, MI 48458-8963

Mailing address

4485 E Mount Morris Rd
Mount Morris, MI 48458-8963
Phone (810) 640-1942

Other identifiers 2

IdentifierTypeStateIssuer
114568764MedicaidMI
0856306045OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000922 MI Practitioner - Family Practice 6709771504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesys Pho LLCGroup PAC ID 7618240409, 10 clinicians
Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

3495 S Ctr Rd
Burton, MI 48519-1455
Phone (810) 424-2201

4485 E Mount Morris Rd
Mount Morris, MI 48458-8963
Phone (810) 640-1942

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MS013800MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Medical Group Genesys Family Medicine CurrentSince Aug 21, 2018 Accepting new patients
Henry Ford Medical Group Genesys CurrentSince Aug 21, 2018 Accepting new patients
Genesys Pho LLC CurrentSince Mar 24, 2018 Accepting new patients
Henry Ford Medical Group Genesys Family Medicine Current Accepting new patients
McLaren Oakland Past Accepting new patients
Hospital Health Care Inc. Family Medicine Past Accepting new patients

Locations

2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627

307 E Court St
Flint, MI 48502
Phone (810) 341-7370

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337

4485 E Mount Morris Rd
Mount Morris, MI 48458
Phone (810) 640-1942

Interoperability endpoints

  • Direct secure messaging: markschaaf@pmi.allscriptsdirect.net
  • Direct secure messaging: mschaaf1150380@direct.hfhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1306932611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 E MOUNT MORRIS RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484588963",
            "telephone_number": "810-640-1942",
            "fax_number": "810-640-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 E MOUNT MORRIS RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484588963",
            "telephone_number": "810-640-1942",
            "fax_number": "810-640-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAF",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MS013800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114568764",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0856306045",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, MI

Sources for this page

Verify at the official NPI Registry.