Individual provider Active NPI

David Schoenow, MD

  • Family Medicine Physician
  • Manistique, MI
National Provider Identifier
1881627602
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301062130 Issued in MI
Practice address
500 Main St
Manistique, MI 49854-1522
Phone
(906) 341-3200
Fax
(906) 341-2731
NPI assigned
Jul 7, 2006
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301062130 MI Primary

Addresses

Primary practice location

500 Main St
Manistique, MI 49854-1522

Mailing address

500 Main St
Manistique, MI 49854-1522
Phone (906) 341-3200

Other identifiers 1

IdentifierTypeStateIssuer
0G71004OtherMIRHC BLUE CROSS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000488 MI Practitioner - Emergency Medicine 0941197412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schoolcraft Memorial HospitalGroup PAC ID 4082525118, 30 clinicians

Practice addresses (Care Compare)

7870W US Hwy 2
Manistique, MI 49854-8992
Phone (906) 341-2153

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301062130MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schoolcraft Memorial Hospital CurrentSince Mar 1, 1996 Accepting new patients
Schoolcraft Memorial Hospital Past Accepting new patients

Locations

7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/71812193-7aa5-42d8-ba4c-ee45e2ea853f/

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1881627602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541522",
            "telephone_number": "906-341-3200",
            "fax_number": "906-341-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541522",
            "telephone_number": "906-341-3200",
            "fax_number": "906-341-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENOW",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301062130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC BLUE CROSS NUMBER",
            "identifier": "0G71004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistique, MI

Sources for this page

Verify at the official NPI Registry.