Individual provider Active NPI

Philip N Schafer, PA

  • Physician Assistant
  • Grayling, MI
National Provider Identifier
1346278298
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002487 Issued in MI
Practice address
1100 E Michigan Ave
Grayling, MI 49738-1312
Phone
(989) 348-5461
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002487 MI Primary

Addresses

Primary practice location

1100 E Michigan Ave
Grayling, MI 49738-1312

Mailing address

2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598

Other identifiers 1

IdentifierTypeStateIssuer
700F960010OtherMIBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070731000442 MI Practitioner - Physician Assistant 4183725468 Reassigns benefits to 3 organizations
I20210812001115 VT Practitioner - Physician Assistant 4183725468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

185 Grafton Rd
Townshend, VT 05353-8820
Phone (802) 365-3601

PO Box
Suite 216
Townshend, VT 05353-0216

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002487MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos G Otis Health Care Center Inc CurrentSince Jul 12, 2021 Accepting new patients
Carlos G. Otis Health Care Center Inc. CurrentSince Jul 1, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jan 31, 2011 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jan 31, 2011 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Traverse Observation Physician Services PC Past Accepting new patients

Locations

1996 Walden Dr
Gaylord, MI 49735
Phone (517) 731-4111

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1346278298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREEN RD",
            "address_2": "SUITE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MICHIGAN AVE",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497381312",
            "telephone_number": "989-348-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "PHILIP",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "002487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700F960010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

Verify at the official NPI Registry.