Organization Active NPI

Tessa B Schisler DO PLC

  • Family Medicine Physician
  • Bay City, MI
National Provider Identifier
1518139302
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015867 Issued in MI
Legal business name
TESSA B SCHISLER DO PLC
Practice address
701 E Vermont St
Bay City, MI 48706-4971
Phone
(989) 892-4586
Fax
(989) 892-2901
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Carol Ann Reed
Title
Nurse Managet
Phone
(989) 892-4586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101015867 MI Primary

Addresses

Primary practice location

701 E Vermont St
Bay City, MI 48706-4971

Mailing address

701 E Vermont St
Bay City, MI 48706-4971
Phone (989) 892-4586

Other identifiers 4

IdentifierTypeStateIssuer
1021423OtherMIMCLAREN
TS015867OtherMIBLUE CROSS
114900741MedicaidMI
01005206OtherMIHEALTHPLUS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1518139302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E VERMONT ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064971",
            "telephone_number": "989-892-4586",
            "fax_number": "989-892-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E VERMONT ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064971",
            "telephone_number": "989-892-4586",
            "fax_number": "989-892-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSA B SCHISLER DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE MANAGET",
        "authorized_official_telephone_number": "989-892-4586"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1021423",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "TS015867",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114900741",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "01005206",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.