Active NPI
Anthony Schultz, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Warrensburg, MO
National Provider Identifier
1770514143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 036111104
- Practice address
- 403 Burkarth Road
Warrensburg, MO 64093 - Phone
- (660) 747-2500
- Fax
- (660) 747-8455
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 18, 2012
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 036111104 | IL | Primary |
Addresses
Primary practice location
403 Burkarth Road
Warrensburg, MO 64093
Mailing address
26427 Silverleaf Dr
Plainfield, IL 60585
Phone (815) 621-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36111104 | Medicaid | IL |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036111104 | IL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc-Swedishamerican Emergency Physicians, LLC | Past | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| SSM Health Care St. Louis | Emergency Medical Services | Past | Accepting new patients |
| Physicians Acute Care Services, Inc | Emergency Medical Services | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1346425949
-
dba Northwest Missouri Emergency Physicians
- Emergency Medical Services (Emergency Medicine) Physician
- Saint Joseph, MO
- NPI 1841262029
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
dba SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
-
- Emergency Medicine Physician
- Belvidere, IL
- NPI 1093254179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1770514143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26427 SILVERLEAF DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60585",
"telephone_number": "815-621-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BURKARTH ROAD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "64093",
"telephone_number": "660-747-2500",
"fax_number": "660-747-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": "036111104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36111104",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, MO
- Krystal Marie Scarbrough, DNP, AGPCNP-BC
- Elizabeth Schenewerk
- Nicolette Renee Schlickenmeyer, BSN, RN
- Jeremy Schmitz, M.D.
- Steven Alan Schuetz
- Dylan P Schumacher, MD
- Abbygail Rose Gibson Schutt, M.S. CF-SLP
- Kristena Jordan Scott, CRNA
- Serc Rehabilitation Partners, LLC (Serc)
- George Ramey Sesser, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.