Active NPI
Mark Peter Schury, D.O.
- Family Medicine Physician
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MS013623
- Practice address
- 4400 Dixie Hwy
Suite B
Waterford, MI 48329-3508 - Phone
- (248) 673-1244
- Fax
- (248) 673-0114
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MS013623 | MI | Primary |
Addresses
Primary practice location
4400 Dixie Hwy
Suite B
Waterford, MI 48329-3508
Mailing address
4400 Dixie Hwy
Suite B
Waterford, MI 48329-3508
Phone (248) 673-1244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0856306175 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MS013623 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakland Integrated Healthcare Network | Current | Accepting new patients | |
| McLaren Oakland | Family Medicine | Current | Accepting new patients |
| McLaren Oakland | Current | Accepting new patients | |
| Oakland Integrated Healthcare Network | Current | Accepting new patients | |
| Oakland Integrated Healthcare Network | Current | Accepting new patients | |
| McLaren Oakland | Family Medicine | Current | Accepting new patients |
Locations
8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847
1701 Baldwin Ave
Ste 102
Pontiac, MI 48340
Phone (248) 334-4962
1701 Baldwin Ave
Pontiac, MI 48340
Phone (248) 334-4962
950 University Dr
Pontiac, MI 48342
Phone (248) 334-0947
461 W Huron St
Ste 107
Pontiac, MI 48341
Phone (248) 857-7432
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
4400 Dixie Hwy
Ste B
Waterford, MI 48329
Phone (248) 673-1244
Interoperability endpoints
- mark.schury.p1@direct.oihn.nextgenshare.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1053463778
-
- Federally Qualified Health Center (FQHC)
- Pontiac, MI
- NPI 1316214299
-
- Psychiatric Hospital Unit
- Pontiac, MI
- NPI 1245817881
-
- Federally Qualified Health Center (FQHC)
- Pontiac, MI
- NPI 1457711202
-
- Federally Qualified Health Center (FQHC)
- Pontiac, MI
- NPI 1740099464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1376510099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 DIXIE HWY",
"address_2": "SUITE B",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483293508",
"telephone_number": "248-673-1244",
"fax_number": "248-673-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 DIXIE HWY",
"address_2": "SUITE B",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483293508",
"telephone_number": "248-673-1244",
"fax_number": "248-673-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHURY",
"first_name": "MARK",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "MS013623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0856306175",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.