Organization Active NPI

Raymond E. F. Schmoke, MD. P.C.

  • Internal Medicine Physician
  • Manistee, MI
National Provider Identifier
1346437316
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047408 Issued in MI
Legal business name
RAYMOND E. F. SCHMOKE, MD. P.C.
Practice address
1806 East Parkdale Avenue
Manistee, MI 49660
Phone
(231) 723-3567
Fax
(231) 723-1767
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Raymond E.F. Schmoke, M.D.
Title
Owner
Phone
(231) 723-3567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301047408 MI Primary

Addresses

Primary practice location

1806 East Parkdale Avenue
Manistee, MI 49660

Mailing address

1806 East Parkdale Avenue
Manistee, MI 49660
Phone (231) 723-3567

Other identifiers 1

IdentifierTypeStateIssuer
101748544MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1346437316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 EAST PARKDALE AVENUE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "49660",
            "telephone_number": "231-723-3567",
            "fax_number": "231-723-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 EAST PARKDALE AVENUE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "49660",
            "telephone_number": "231-723-3567",
            "fax_number": "231-723-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND E. F. SCHMOKE, MD. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "SCHMOKE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E.F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-723-3567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101748544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.