Individual provider Active NPI

Timothy W Rohrschneider, PA

  • Physician Assistant
  • Saint Clair Shores, MI
National Provider Identifier
1912238056
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
25631 Little Mack Ave Ste 104
Saint Clair Shores, MI 48081-2100
Phone
(586) 884-2727
Fax
(615) 345-5405
NPI assigned
Jan 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

25631 Little Mack Ave Ste 104
Saint Clair Shores, MI 48081-2100

Mailing address

41 Woodland Shores Dr
Grosse Pointe Shores, MI 48236-2633
Phone (404) 217-7122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110420000176 MI Practitioner - Physician Assistant 2961531157 Reassigns benefits to 2 organizations
I20190423000254 FL Practitioner - Physician Assistant 2961531157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

15606 Southfield Rd
Allen Park, MI 48101-2513
Phone (313) 771-5274

16525 Fort St
Southgate, MI 48195-1403
Phone (734) 250-9529

18700 Mack Ave
Grosse Pointe Farms, MI 48236-2923
Phone (313) 925-3486

18930 W Rd
Beaumont Urgent Care of Michigan
Woodhaven, MI 48183-3317
Phone (734) 671-4900

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

25631 Little Mack Ave
Suite 104
Saint Clair Shores, MI 48081-2100
Phone (586) 884-2727

28550 Schoenherr Rd
Warren, MI 48088-4329
Phone (586) 480-1685

309 E 11 Mile Rd
Beaumont Urgent Care of Michigan
Royal Oak, MI 48067-2735
Phone (248) 965-8806

6200 Middlebelt Rd
Garden City, MI 48135-2409
Phone (734) 367-9100

9870 Telegraph Rd
Taylor, MI 48180-3399
Phone (313) 291-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince May 1, 2011 Accepting new patients
Henry Ford Health System Physician Assistant CurrentSince May 1, 2011 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1912238056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WOODLAND SHORES DR",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "482362633",
            "telephone_number": "404-217-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25631 LITTLE MACK AVE STE 104",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812100",
            "telephone_number": "586-884-2727",
            "fax_number": "615-345-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRSCHNEIDER",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.