Gary J Schaub, PA-C
Individual provider Active NPI Physician Assistant · Williamsburg, MI
NPI 1871566489 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871566489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601001376 (MI)
- Practice address
- 6100 US 31 North
Williamsburg, MI 49690 - Phone
- (231) 938-5983
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Eldercare, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001376 | MI | Yes |
Addresses
Primary practice location
6100 US 31 North
Williamsburg, MI 49690
Mailing address
PO Box 515
Acme, MI 49610-0515
Phone (231) 938-5983
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043802 | Medicaid | MI |
Other providers in Williamsburg, MI
- Heather Keena Rose
- Trista Rosing
- Jonathan Patrick Russell
- Samaritas
- Mark Daniel Saunders
- Jessica Jeannine Stallman
- Usv Optical Inc.
- Martin Vandenakker Jr.
- Steven Trent Vandeveer
- Therese Marie Schroeder Waters
All providers in Williamsburg, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.