Organization Active NPI

Hillsdale Medical Associates, PLC

  • Family Medicine Physician
  • Hillsdale, MI
National Provider Identifier
1912239708
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301087230 Issued in MI
Legal business name
HILLSDALE MEDICAL ASSOCIATES, PLC
Practice address
32 S Broad St
Hillsdale, MI 49242-1859
Phone
(517) 437-3361
Fax
(517) 437-0011
NPI assigned
Feb 4, 2010
Organization subpart
Yes
Parent organization
HILLSDALE MEDICAL ASSOCIATES, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Dan E McCance, D.O.
Title
Owner
Phone
(517) 439-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301087230 MI Primary

Addresses

Primary practice location

32 S Broad St
Hillsdale, MI 49242-1859

Mailing address

32 S Broad St
Hillsdale, MI 49242-1859
Phone (517) 437-3361

Other identifiers 1

IdentifierTypeStateIssuer
4875765MedicaidMI

Other names 1

  • Robert E Schall, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000708 MI Part B Supplier - Clinic/Group Practice 7416902853 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Hillsdale, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Hillsdale Medical PLC

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

32 S Broad St
Hillsdale, MI 49242
Phone (517) 437-3361

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1912239708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S BROAD ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421859",
            "telephone_number": "517-437-3361",
            "fax_number": "517-437-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S BROAD ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421859",
            "telephone_number": "517-437-3361",
            "fax_number": "517-437-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSDALE MEDICAL ASSOCIATES, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLSDALE MEDICAL ASSOCIATES, PLC",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "MCCANCE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-439-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301087230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4875765",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert E Schall, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.