Jacob P Scott in Grand Rapids - Internal Medicine

Jacob P Scott - NPI 1033309380

Jacob P Scott is a Internal Medicine in Grand Rapids, Michigan. Jacob P Scott practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jacob P Scott is 1033309380. The last update date is 2021-02-24.

Jacob P Scott's current location address is 100 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164866557 and fax number 6164866702. The mailing address for Jacob P Scott is 100 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob P Scott
Address 100 Michigan St Ne, Grand Rapids, Michigan
Phone Number 6164866557
Fax Number 6164866702
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1033309380
Provider Enumeration Date 2007-08-01
Last Updated Date 2021-02-24

Provider Mailing Address Detail

Address 100 Michigan St Ne
City Grand Rapids
State Michigan (MI)
Post Code 495032560
Phone Number 6164866557
Fax Number 6164866702

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 50966
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1033309380 MI --
ENROLLED MN --
P00746352 MN MEDIICARE, RAILROAD

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FAQs about Jacob P Scott

What is the unique identifier code issued to Jacob P Scott by the Centers for Medicare & Medicaid Services?

The Jacob P Scott has been assigned the NPI (National Provider Identifier) 1033309380. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jacob P Scott is located?

The Jacob P Scott is situated at the following address: 100 Michigan St Ne, Grand Rapids, MI, 495032560.

What is the Jacob P Scott's specialty and taxonomy code?

The Jacob P Scott's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1033309380 to Jacob P Scott?

The Centers for Medicare & Medicaid Services assigned the 1033309380 to Jacob P Scott on 2007-08-01.

As of what date were the details related to Jacob P Scott most recently updated or revised?

The information pertaining to Jacob P Scott, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-24.

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