Malcolm A Schulz II, M.D., F.A.C.S.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2007008753 Issued in MO

Practice address

400 Maple Summit Rd
Jerseyville, IL 62052-2028

Phone

(618) 498-3800

Fax

(618) 498-8488

NPI assigned

May 4, 2006

Last updated

Apr 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, IL, LA3 enrollments

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 3

Specialty

General Surgery

Education

Louisiana State University School of Medicine in Shreveport, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanburg Emergency Group, P.C.Group PAC ID 4688003957, 12 clinicians

Integritas Emergency Physician Services LLCGroup PAC ID 7113167446, 41 clinicians

Pemiscot County Memorial HospitalGroup PAC ID 8426024159, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313
• Carlinville Area Hospital Hospital, Carlinville, IL, CCN 141347
• Hamilton Memorial Hospital Hospital, McLeansboro, IL, CCN 141326
• Salem Memorial District Hospital Hospital, Salem, MO, CCN 261318
• Pemiscot County Memorial Hospital Hospital, Hayti, MO, CCN 260780

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mschulz@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integritas Emergency Physician Services, LLC

  • Emergency Medicine Physician
  • Carbondale, IL
  • NPI 1790128817
  Medicare reassignment Care Compare group NPD
• Sanburg Emergency Group, P.C.

  • Emergency Medicine Physician
  • Galesburg, IL
  • NPI 1992337000
  Medicare reassignment Care Compare group
• Pemiscot County Memorial Hospital

  • Emergency Care Clinic/Center
  • Hayti, MO
  • NPI 1578668661
  Medicare reassignment Care Compare group
• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106
  Medicare reassignment NPD
• Salem Memorial Hospital

  dba SMDH Family Medicine

  • Primary Care Clinic/Center
  • Salem, MO
  • NPI 1114177557
  Medicare reassignment NPD
• Salem Memorial Hospital

  • Critical Access Hospital
  • Salem, MO
  • NPI 1639177561
  Medicare reassignment NPD
• Schulz Surgical Associates, P.a.

  • Surgery Physician
  • Lewisville, TX
  • NPI 1366474793
  NPD Authorized official
• Carlinville Area Hospital Association

  dba Carlinville Area Hospital

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1932275641
  Medicare reassignment
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  Medicare reassignment
• Advanced Surgical Care

  • Specialist
  • Edgewood, KY
  • NPI 1932228798
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carlinville Area Hospital Association

  dba Carlinville Area Hospital

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1053425124
  Care Compare affiliation
• Hamilton Memorial Hospital District

  • Critical Access Hospital
  • McLeansboro, IL
  • NPI 1447257258
  Care Compare affiliation
• Hamilton Memorial Hospital District

  dba Carmi Family Clinic

  • Rural Health Clinic/Center
  • Carmi, IL
  • NPI 1588902183

  Hospital

  Care Compare affiliation
• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106
  Care Compare affiliation
• Pemiscot County Memorial Hospital

  • Rural Acute Care Hospital
  • Hayti, MO
  • NPI 1437179710
  Care Compare affiliation
• Salem Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Salem, MO
  • NPI 1134199417
  Care Compare affiliation
• Salem Memorial Hospital

  • Critical Access Hospital
  • Salem, MO
  • NPI 1639177561
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1740238542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522028",
            "telephone_number": "618-498-3800",
            "fax_number": "618-498-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522028",
            "telephone_number": "618-498-3800",
            "fax_number": "618-498-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "MALCOLM",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L9894",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2007008753",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MO",
            "license": "2007008753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170171601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1740238542",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Schleper Pharmacy Inc (The Prescription Shop)
• Destiny Schmidt
• Roger A Schroeder, MD
• Ronald Lee Schroeder, M.D.
• Kirk William Schultz, DC
• Elizabeth Schweitzer
• Kathleen Seunsom, BCBA, M.A., LBA
• Kendra R Sexton
• Deborah Marie Seymour, APN-BC
• Sherer Chiropractic Center, LLC

• Surgery Physician in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.