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DR. TIMOTHY SCOTT VANSCHOICK M.D. NPI 1760441455


NPI Information

NPI: 1760441455
Provider Name: DR. TIMOTHY SCOTT VANSCHOICK, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 23D0698067

Address:
2100 4TH ST
JACKSON, MI
ZIP 49203
Phone: (517) 787-4330
Get Directions

DR. Timothy Scott Vanschoick, M.D. is a pediatrics in Jackson, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Timothy Scott Vanschoick, M.D. NPI is 1760441455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 4TH ST
JACKSON, MI
ZIP 49203-518
Phone: (517) 787-4330
Fax: (517) 787-4861

The CLIA number assigned to this NPI record is 23D0698067 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 12/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics4301053287MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12907369MEDICAIDMICHIGAN
23503810431OTHERMICHIGANBCBS
3103749OTHERMICHIGANPREFERRED CHOICES
4200000005063OTHERMICHIGANPHP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.