Active NPI
Lucas Donald Schreiner, DO
- Adult Medicine Physician
- Menominee, MI
National Provider Identifier
1982085239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 127664
- Practice address
- 1110 10TH Ave Ste 101
Menominee, MI 49858-3058 - Phone
- (906) 863-1286
- Fax
- (906) 779-7453
- NPI assigned
- Jun 12, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 132645 | AK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OT016651 | PA | |
| Adult Medicine Physician | 207QA0505X | 127664 | MT | Primary |
Addresses
Primary practice location
1110 10TH Ave Ste 101
Menominee, MI 49858-3058
Mailing address
1400 29TH St S
Great Falls, MT 59405-5315
Phone (406) 771-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127664 | Other | MT | MEDICAL LICENSE |
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 |
|---|---|---|---|
| 132645 | AK | MD | Family Medicine Physician |
| 127664 | MT | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1982085239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 29TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055315",
"telephone_number": "406-771-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 10TH AVE STE 101",
"city": "MENOMINEE",
"state": "MI",
"postal_code": "498583058",
"telephone_number": "906-863-1286",
"fax_number": "906-779-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREINER",
"first_name": "LUCAS",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-12",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "132645",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT016651",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MT",
"license": "127664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "127664",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menominee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.