Individual provider Active NPI

Michael Schorsch, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Lebanon, NH
National Provider Identifier
1770741993
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
6680 Issued in NH
Practice address
57 N Park St
Suite 1
Lebanon, NH 03766-1377
Phone
(603) 448-4003
Fax
(603) 448-4003
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 6680 NH Primary

Addresses

Primary practice location

57 N Park St
Suite 1
Lebanon, NH 03766-1377

Mailing address

57 N Park St
Suite 1
Lebanon, NH 03766-1377
Phone (603) 448-4003

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6680NHMDAddiction Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1770741993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 N PARK ST",
            "address_2": "SUITE 1",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661377",
            "telephone_number": "603-448-4003",
            "fax_number": "603-448-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N PARK ST",
            "address_2": "SUITE 1",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661377",
            "telephone_number": "603-448-4003",
            "fax_number": "603-448-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORSCH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NH",
            "license": "6680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.