Individual provider Active NPI

Martin Schoenmaker, MD

  • Obstetrics & Gynecology Physician
  • Lansing, MI
National Provider Identifier
1699873828
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301057803 Issued in MI
Practice address
1200 E Michigan Ave
Ste 445
Lansing, MI 48912-1800
Phone
(517) 364-5210
Fax
(517) 364-5216
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301057803 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Ste 445
Lansing, MI 48912-1800

Mailing address

PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253

Other identifiers 5

IdentifierTypeStateIssuer
200000002266OtherMIPHP PIN #
3456093MedicaidMI
1603302291OtherMIBCBS INDIVIDUAL PIN
4309646MedicaidMI
2845220MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080321000089 MI Practitioner - Obstetrics/Gynecology 1153407895 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 1997 Accepting new patients
Sparrow Ionia Hospital CurrentSince Mar 1, 2012 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Ionia Hospital CurrentSince Mar 1, 2012 Accepting new patients
Edward W. Sparrow Hospital Association Obstetrics & Gynecology CurrentSince Jan 1, 1997 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1322 E Michigan Ave
Ste 220
Lansing, MI 48912
Phone (517) 364-2570

1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610

1200 E Michigan Ave
Ste 445
Lansing, MI 48912
Phone (517) 364-5210

1200 E Michigan Ave
Ste 325
Lansing, MI 48912
Phone (517) 364-5160

1600 W Grand River Ave
Ste 1
Okemos, MI 48864
Phone (517) 381-6870

Interoperability endpoints

  • Direct secure messaging: mschoenmaker1665@sparrowdirecthie.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1699873828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "517-364-6253",
            "fax_number": "517-364-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "STE 445",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5210",
            "fax_number": "517-364-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENMAKER",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301057803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP PIN #",
            "identifier": "200000002266",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3456093",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PIN",
            "identifier": "1603302291",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4309646",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2845220",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.