Active NPI
David H Schulman, DO
- Vascular Surgery Physician
- Port Huron, MI
National Provider Identifier
1932213626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 5101009608
- Practice address
- 1210 10TH Ave
Port Huron, MI 48060-3406 - Phone
- (810) 984-8470
- Fax
- (810) 984-3919
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 5101009608 | MI | Primary |
Addresses
Primary practice location
1210 10TH Ave
Port Huron, MI 48060-3406
Mailing address
30075 Greenfield Rd Ste 100
Southfield, MI 48076-1523
Phone (248) 290-2940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2975458 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101009608 | MI | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1932213626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30075 GREENFIELD RD STE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761523",
"telephone_number": "248-290-2940",
"fax_number": "248-290-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 10TH AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603406",
"telephone_number": "810-984-8470",
"fax_number": "810-984-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULMAN",
"first_name": "DAVID",
"middle_name": "H",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "5101009608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2975458",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.