Organization Active NPI

Schoenherr Medical Assoicates PC

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1861426280
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SCHOENHERR MEDICAL ASSOICATES PC
Practice address
27101 Schoenherr Rd
Warren, MI 48088-4730
Phone
(586) 758-5800
Fax
(586) 758-5841
NPI assigned
Jul 10, 2006
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Dr. Luis Charbonier, MD
Title
President
Phone
(586) 758-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

27101 Schoenherr Rd
Warren, MI 48088-4730

Mailing address

27101 Schoenherr Rd Ste 100
Warren, MI 48088-4730
Phone (586) 758-5800

Other identifiers 2

IdentifierTypeStateIssuer
110E011830OtherMIBLUE CROSS BLUE SHIELD MI
1988470MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL schmedassoc@yahoo.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1861426280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27101 SCHOENHERR RD STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884730",
            "telephone_number": "586-758-5800",
            "fax_number": "586-758-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27101 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884730",
            "telephone_number": "586-758-5800",
            "fax_number": "586-758-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOENHERR MEDICAL ASSOICATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "CHARBONIER",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-758-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "110E011830",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1988470",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "schmedassoc@yahoo.com",
            "affiliation": "N",
            "address_1": "27101 Schoenherr Rd",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480884730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.