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
Phone: (313) 295-1620
Fax: (313) 295-1622
Website:
Authorized official contact:
Name: Grodman, Scott T Doctor of Podiatric Medicine (DPM)
Phone: (313) 295-1620
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750564050 | NPPES |
Michigan | MEDICAID | 2948227 | |
Michigan | Other | 4858213180 | |
Michigan | Other | 480H244260 | |
Michigan | Other | 540H22790 |
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