Stacy Norman Schulz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2604 Issued in AK

Practice address

212 Carlanna Lake Rd Ste 201
Box 6755
Ketchikan, AK 99901-5642

Phone

(907) 247-3301

Fax

(907) 247-3306

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• First City Medicine LLC

  • Primary Care Clinic/Center
  • Ketchikan, AK
  • NPI 1417031618
  NPD (past) Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1851303903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6755",
            "address_2": "212 CARLANNA RD #201",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999011755",
            "telephone_number": "907-247-3301",
            "fax_number": "907-247-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARLANNA LAKE RD STE 201",
            "address_2": "BOX 6755",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015642",
            "telephone_number": "907-247-3301",
            "fax_number": "907-247-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "STACY",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "2604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MD LICENSE",
            "identifier": "2604",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD13202",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary J Schoenrock, MD
• Linda Schrack
• Ken Schramm
• Amanda Schuler
• Elizabeth Schultz
• John C Schwartz, MD
• Renee Danielle Schwartz, LPC, RPT
• Steffani Rae Schwierking
• Monika Seludo
• Serenity Health & Wellness, LLC

• Internal Medicine Physician in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Internal Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.