Provider Demographics
NPI:1366586117
Name:ROXIE A SCHELL MD
Entity type:Organization
Organization Name:ROXIE A SCHELL MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-497-4600
Mailing Address - Street 1:1710 LAWNDALE RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-4396
Mailing Address - Country:US
Mailing Address - Phone:989-497-4600
Mailing Address - Fax:989-497-8695
Practice Address - Street 1:1710 LAWNDALE RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-4396
Practice Address - Country:US
Practice Address - Phone:989-497-4600
Practice Address - Fax:989-497-8695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL583780207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4478605OtherAETNA
MI1107304171OtherBCBS OF MICHIGAN
D49793Medicare UPIN
MION62810Medicare ID - Type Unspecified