GRANT DOUGLAS SCHROEDER MD
NPI 1649067257
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Grant Schroeder's NPI number?

The NPI number for Grant Schroeder is 1649067257. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Q: What is Grant Schroeder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Grant Schroeder was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2025PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Grant Douglas Schroeder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT DOUGLAS SCHROEDER MD (NPI 1649067257) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649067257

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGRANT DOUGLAS SCHROEDERCredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address27753 Gateway Blvd Apt 305Farmington Hills, MI 48334-5015 · (360) 929-4585

Phone(517) 205-4800

Sole ProprietorYes

Enumeration DateApril 24, 2025

NPPES CertifiedMarch 31, 2025

✔ NPI 1649067257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Douglas Schroeder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C

Physician Assistant