Active NPI
Randy L Schott, PA-C
- Physician Assistant
- East Lansing, MI
National Provider Identifier
1568487940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003351
- Practice address
- 830 W Lake Lansing Rd
East Lansing, MI 48823-6371 - Phone
- (517) 203-3965
- Fax
- (517) 203-3976
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003351 | MI | Primary |
Addresses
Primary practice location
830 W Lake Lansing Rd
East Lansing, MI 48823-6371
Mailing address
830 W Lake Lansing Rd
East Lansing, MI 48823-6371
Phone (517) 203-3965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601003351 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003351 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Battle Creek Emergency Physicians, PC | Physician Assistant | Past | Accepting new patients |
| Sparrow Eaton Hospital | Past | Accepting new patients | |
| Epmg of Michigan, P.C. | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Battle Creek, MI
- NPI 1497789168
Physician Assistant
-
- School Nurse Practitioner
- East Lansing, MI
- NPI 1063227486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1568487940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236371",
"telephone_number": "517-203-3965",
"fax_number": "517-203-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236371",
"telephone_number": "517-203-3965",
"fax_number": "517-203-3976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOTT",
"first_name": "RANDY",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5601003351",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.