Organization Active NPI

Timothy S Van Schoick, M.D.,P.C.

  • Legal Medicine
  • Jackson, MI
National Provider Identifier
1396792560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
TIMOTHY S VAN SCHOICK, M.D.,P.C.
Practice address
2100 4TH St
Jackson, MI 49203-4518
Phone
(517) 787-4330
Fax
(517) 787-4861
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy S Van Schoick, M.D.
Title
Owner
Phone
(517) 787-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

2100 4TH St
Jackson, MI 49203-4518

Mailing address

2100 4TH St
Jackson, MI 49203-4518
Phone (517) 787-4330

Other names 1

  • Jackson Pediatric Associates Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0698067Timothy S Van Schoick MD2100 Fourth Street, Jackson, MI 49203Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2100 4th St
Jackson, MI 49203
Phone (517) 787-4330

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396792560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034518",
            "telephone_number": "517-787-4330",
            "fax_number": "517-787-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034518",
            "telephone_number": "517-787-4330",
            "fax_number": "517-787-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY S VAN SCHOICK, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN SCHOICK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-787-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.