Individual provider Active NPI

Karin C Schmottlach, PA-C

  • Physician Assistant
  • Caledonia, MI
National Provider Identifier
1487860466
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003738 Issued in MI
Practice address
8941 N Rodgers CT SE
Caledonia, MI 49316-8013
Phone
(616) 252-5300
Fax
(616) 252-5390
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003738 MI Primary

Addresses

Primary practice location

8941 N Rodgers CT SE
Caledonia, MI 49316-8013

Mailing address

5900 Byron Center Ave SW
Medical Administration
Wyoming, MI 49519-9606
Phone (616) 252-3243

Other practice location 1

436 44th St SE
Kentwood, MI 49548-4371
Phone (616) 531-9750

Other practice location 2

436 44th St SE
Kentwood, MI 49548-4371
Phone (616) 531-9750

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000059 MI Practitioner - Physician Assistant 7517856479 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Jun 15, 2021 Accepting new patients
Onsight, Inc. CurrentSince Dec 20, 2023 Accepting new patients
Metropolitan Hospital CurrentSince Jun 1, 2016 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Jun 15, 2021 Accepting new patients
Metropolitan Enterprises Inc. Physician Assistant Past Accepting new patients
Kasim LTD Past Accepting new patients
James H. Aronovitz, DO PLLC Past Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients
Onsight, Inc. Past Accepting new patients

Locations

8941 N Rodgers Ct SE
Caledonia, MI 49316
Phone (616) 252-5300

4200 Division Ave N
Comstock Park, MI 49321
Phone (616) 252-1600

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

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

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487860466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "address_2": "MEDICAL ADMINISTRATION",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-252-3243",
            "fax_number": "616-252-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8941 N RODGERS CT SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168013",
            "telephone_number": "616-252-5300",
            "fax_number": "616-252-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 44th St SE",
            "address_purpose": "LOCATION",
            "city": "Kentwood",
            "state": "MI",
            "postal_code": "495484371",
            "country_code": "US",
            "telephone_number": "616-531-9750",
            "fax_number": "616-531-9710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "436 44th St SE",
            "address_purpose": "LOCATION",
            "city": "Kentwood",
            "state": "MI",
            "postal_code": "495484371",
            "country_code": "US",
            "telephone_number": "616-531-9750",
            "fax_number": "616-531-9710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMOTTLACH",
        "first_name": "KARIN",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

Verify at the official NPI Registry.