Gary J Schaub, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001376 Issued in MI

Practice address

6100 US 31 North
Williamsburg, MI 49690

Phone

(231) 938-5983

NPI assigned

Feb 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Michigan Eldercare, Inc.

  dba Mobile Doctors of Northwest Michigan

  • Geriatric Medicine (Family Medicine) Physician
  • Williamsburg, MI
  • NPI 1962568956
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871566489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "ACME",
            "state": "MI",
            "postal_code": "496100515",
            "telephone_number": "231-938-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 US 31 NORTH",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "49690",
            "telephone_number": "231-938-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUB",
        "first_name": "GARY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Keena Rose
• Trista Rosing
• Jonathan Patrick Russell
• Samaritas (Samaritas Senior Living Traverse City)
• Mark Daniel Saunders, M.D.
• Jessica Jeannine Stallman
• Usv Optical Inc.
• Martin Vandenakker Jr., D.O.
• Steven Trent Vandeveer, RPH
• Therese Marie Schroeder Waters, P.T.

• Physician Assistant in Williamsburg, MI
• Providers in Williamsburg, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.