Active NPI
Susan P. Schooley, M.D.
- Family Medicine Physician
- Detroit, MI
National Provider Identifier
1619041126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301057117
- Practice address
- Henry Ford Health System
One Ford Place 2C
Detroit, MI 48202 - Phone
- (313) 874-5379
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301057117 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
One Ford Place 2C
Detroit, MI 48202
Mailing address
Henry Ford Health System
One Ford Place 2C
Detroit, MI 48202
Phone (313) 874-5379
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SS057117 | Other | CHAMPUS-CHAMPUS | |
| SS057117 | Other | COMMERCIAL-COMMERCIAL NUMBER |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301057117 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619041126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "ONE FORD PLACE 2C",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-874-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "ONE FORD PLACE 2C",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-874-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOOLEY",
"first_name": "SUSAN",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301057117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "SS057117",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "SS057117",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.