Active NPI
Michael S Schroering, MD
- Family Medicine Physician
- Fairmont, WV
National Provider Identifier
1649202060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13834
- Practice address
- 1322 Locust Ave
Fairmont, WV 26554 - Phone
- (304) 366-0700
- Fax
- (304) 366-9529
- NPI assigned
- Jul 7, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13834 | WV | Primary |
Addresses
Primary practice location
1322 Locust Ave
Fairmont, WV 26554
Mailing address
1322 Locust Ave
PO Box 1112
Fairmont, WV 26554
Phone (304) 366-0700
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080057483 | Other | WV | RR MEDICARE |
| B59751 | Other | WV | WV WORKER'S COMP |
| 0050765000 | Medicaid | WV | |
| 0573010 | Other | WV | HOME PLAN PEIA AND CHIPS |
| B59751 | Other | WV | CARELINK |
| 0004420425 | Other | WV | AETNA |
| 505821 | Other | WV | NATIONAL CAPITAL PPO |
| FQ13834 | Other | WV | HEALTH PLAN |
| 000514416 | Other | WV | MT STATE BC/BS |
| 550486849 0013 | Other | WV | CIGNA |
| 1649202060 | Other | WV | OHIO WORKER'S COMP |
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 |
|---|---|---|---|
| 13834 | WV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1649202060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 LOCUST AVE",
"address_2": "PO BOX 1112",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-366-0700",
"fax_number": "304-366-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 LOCUST AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-366-0700",
"fax_number": "304-366-9529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROERING",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "13834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080057483",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV WORKER'S COMP",
"identifier": "B59751",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0050765000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME PLAN PEIA AND CHIPS",
"identifier": "0573010",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK",
"identifier": "B59751",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004420425",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CAPITAL PPO",
"identifier": "505821",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "FQ13834",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE BC/BS",
"identifier": "000514416",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "550486849 0013",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO WORKER'S COMP",
"identifier": "1649202060",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.