Organization Active NPI

Charles W Schisler, D.O., P.C.

  • Family Medicine Physician
  • Bay City, MI
National Provider Identifier
1336238559
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CS006239 Issued in MI
Legal business name
CHARLES W SCHISLER, D.O., P.C.
Practice address
701 E Vermont St
Bay City, MI 48706-4971
Phone
(989) 892-4586
Fax
(989) 892-2901
NPI assigned
Oct 12, 2006
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Dr. Charles W Schisler, D.O.
Title
President
Phone
(989) 892-4586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CS006239 MI Primary

Addresses

Primary practice location

701 E Vermont St
Bay City, MI 48706-4971

Mailing address

701 E Vermont St
Bay City, MI 48706-4963
Phone (989) 892-4586

Other identifiers 2

IdentifierTypeStateIssuer
CS006239OtherMIMI LICENSE
1035904MedicaidMI

National Provider Directory

National Provider Directory

Locations

701 E Vermont St
Ste 200
Bay City, MI 48706
Phone (989) 892-4586

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1336238559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E VERMONT ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064963",
            "telephone_number": "989-892-4586",
            "fax_number": "989-892-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E VERMONT ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064971",
            "telephone_number": "989-892-4586",
            "fax_number": "989-892-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W SCHISLER, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "SCHISLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-892-4586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "CS006239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "CS006239",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035904",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.