Scott I Sircus in Saint Clair Shores - Urology

Scott I Sircus - NPI 1295724060

Scott I Sircus is a Urology in Saint Clair Shores, Michigan. Scott I Sircus practices all healthcare services and medical treatments related to Urology. The NPI Number for Scott I Sircus is 1295724060. The last update date is 2022-07-21.

Scott I Sircus's current location address is 20952 E 12 Mile Rd, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867714820 and fax number 5867716620. The mailing address for Scott I Sircus is 20952 E 12 Mile Rd, Saint Clair Shores, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott I Sircus
Address 20952 E 12 Mile Rd, Saint Clair Shores, Michigan
Phone Number 5867714820
Fax Number 5867716620
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1295724060
Provider Enumeration Date 2005-10-14
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 20952 E 12 Mile Rd
City Saint Clair Shores
State Michigan (MI)
Post Code 480813200
Phone Number 5867714820
Fax Number 5867716620

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 4301053931
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
783643 MI CIGNA
4137015 MI AETNA
103474 MI PRIORITY HEALTH
E50390 MI HAP
P00321784 MI RAILROAD MEDICARE

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FAQs about Scott I Sircus

What is the unique 10-digit identifier code issued to Scott I Sircus by the Centers for Medicare & Medicaid Services?

The Scott I Sircus has been assigned the NPI (National Provider Identifier) 1295724060 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Scott I Sircus?

The Scott I Sircus is physically situated at 20952 E 12 Mile Rd, in the city of Saint Clair Shores, state of MI, with the postal code 480813200.

What is Scott I Sircus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Scott I Sircus's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.

When was the Scott I Sircus's 1295724060 issued?

The Scott I Sircus's 1295724060 was issued on 2005-10-14.

When was the Scott I Sircus's information last updated?

The Scott I Sircus's information was last updated on 2022-07-21.

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