Individual provider Active NPI

Ann Marie Bach Schreiber, D.O.

  • Gastroenterology Physician
  • Federal Way, WA
National Provider Identifier
1376863050
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OP60680589 Issued in WA
Practice address
34503 9TH Ave S Ste 130
Federal Way, WA 98003
Phone
(253) 835-5340
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X OP60680589 WA Primary

Addresses

Primary practice location

34503 9TH Ave S Ste 130
Federal Way, WA 98003

Mailing address

34503 9TH Ave S Ste 130
Federal Way, WA 98003-8726
Phone (253) 835-5340

Other practice location 1

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000

Other identifiers 1

IdentifierTypeStateIssuer
OP60680589OtherWAWASHINGTON STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AR, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161202000479 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 1052631694 Reassigns benefits to 1 organization
I20231023000863 AR Practitioner - Internal Medicine 1052631694 Reassigns benefits to 1 organization
I20240821003099 IL Practitioner - Gastroenterology 1052631694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians
Washington Regional Medical SystemGroup PAC ID 8820995434, 238 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372

3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-8200

Hospital & facility affiliations

  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy47
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60680589WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Loyola University Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Mar 1, 2023 Accepting new patients
Western Washington Medical Group, Inc PS Gastroenterology CurrentSince Sep 1, 2018 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Mar 1, 2023 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2018 Accepting new patients
Washington Regional Medical System CurrentSince Jul 1, 2023 Accepting new patients
Washington Regional Medical System Gastroenterology CurrentSince Jul 1, 2023 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

1728 W Marine View Dr
Ste 111
Everett, WA 98201

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Interoperability endpoints

  • Direct secure messaging: aschreiber949535@wm.providencedirect.org

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 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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1376863050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34503 9TH AVE S STE 130",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038726",
            "telephone_number": "253-835-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34503 9TH AVE S STE 130",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-835-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Genesys Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398065",
            "country_code": "US",
            "telephone_number": "810-606-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "ANN MARIE",
        "middle_name": "BACH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "OP60680589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE MEDICAL LICENSE",
            "identifier": "OP60680589",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.