Active NPI
Jon L Schriner, D.O.
- Family Medicine Physician
- Grand Blanc, MI
National Provider Identifier
1902951809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101005206
- Practice address
- 12741 S Saginaw St Ste 402
Grand Blanc, MI 48439 - Phone
- (810) 845-3880
- NPI assigned
- Jan 24, 2007
- Last updated
- Mar 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | JS005206 | MI | |
| Family Medicine Physician | 207Q00000X | 5101005206 | MI | Primary |
Addresses
Primary practice location
12741 S Saginaw St Ste 402
Grand Blanc, MI 48439
Mailing address
12741 S Saginaw St Ste 402
Grand Blanc, MI 48439-2460
Phone (810) 845-3880
Other practice location 1
6045 W Pierson Rd
Flushing, MI 48433-2389
Phone (810) 732-4007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JS005206 | MI | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Independent Physicians Association, PLC | Family Medicine | Current | Accepting new patients |
Locations
5536 S Saginaw Rd
Grand Blanc, MI 48507
Phone (810) 694-7412
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.
-
- Multi-Specialty Clinic/Center
- Shelby TWP, MI
- NPI 1922630490
-
dba Michigan IPA
- General Practice Physician
- Grand Blanc, MI
- NPI 1912354986
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1902951809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12741 S SAGINAW ST STE 402",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392460",
"telephone_number": "810-845-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12741 S SAGINAW ST STE 402",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "48439",
"telephone_number": "810-845-3880"
}
],
"practiceLocations": [
{
"address_1": "6045 W Pierson Rd",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "MI",
"postal_code": "484332389",
"country_code": "US",
"telephone_number": "810-732-4007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHRINER",
"first_name": "JON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "MI",
"license": "JS005206",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101005206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.