Scott Grodman Dpm Pc

LBN: Scott Grodman Dpm Pc
Scott Grodman Dpm Pc is an health care organization with primary practice located at 9300 Pardee Rd Suite A, Taylor MI 48180-3528. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Scott Grodman Dpm Pc can be contacted via phone (313) 295-1620, or through Grodman, Scott T via phone (313) 295-1620.

Contact Information

Primary practice address
9300 Pardee Rd Suite A Taylor MI 48180-3528
Fax: (313) 295-1622
Website:
Authorized official contact:
Name: Grodman, Scott T Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 001478 Michigan
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 001478 Michigan

Profile Details

NPI number 1750564050
LBN Legal business name Scott Grodman Dpm Pc
DBA Doing business as
Authorized official Grodman, Scott T Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2007
Last updated Mar 3rd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750564050 NPPES
Michigan MEDICAID 2948227
Michigan Other 4858213180
Michigan Other 480H244260
Michigan Other 540H22790

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