Organization Active NPI

Mid-Michigan Gastroenterology Consultants PC

  • Gastroenterology Physician
  • Jackson, MI
National Provider Identifier
1407980246
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
010043 Issued in MI
Legal business name
MID-MICHIGAN GASTROENTEROLOGY CONSULTANTS PC
Practice address
2424 Spring Arbor Rd
Jackson, MI 49203-2748
Phone
(517) 783-3112
Fax
(517) 783-6057
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Dr. Lynn Timothy Schachinger, DONPI 1851420947
Title
President
Phone
(517) 783-3112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 010043 MI Primary

Addresses

Primary practice location

2424 Spring Arbor Rd
Jackson, MI 49203-2748

Mailing address

2424 Spring Arbor Rd
Jackson, MI 49203-2748
Phone (517) 783-3112

Other identifiers 4

IdentifierTypeStateIssuer
200000004876OtherMIPHP
1053808245OtherMIBCBSM
3216444MedicaidMI
100008017OtherRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lschachinger462791@direct.hfhs.org W.A. Foote Memorial Hospital, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050901000183 MI Part B Supplier - Clinic/Group Practice 1850323684 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

1100 E Michigan Ave
Ste 209
Jackson, MI 49201
Phone (517) 205-8346

Interoperability endpoints

  • Direct secure messaging: lschachinger462791@direct.hfhs.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1407980246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032748",
            "telephone_number": "517-783-3112",
            "fax_number": "517-783-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032748",
            "telephone_number": "517-783-3112",
            "fax_number": "517-783-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN GASTROENTEROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "SCHACHINGER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-783-3112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "010043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000004876",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1053808245",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3216444",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100008017",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lschachinger462791@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "W.A. Foote Memorial Hospital, Inc.",
            "address_1": "2424 Spring Arbor Rd",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492032748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.