TARA SCOTT PC NPI 1083864151

NPI Information

NPI: 1083864151
Provider Name: TARA SCOTT, PC

Doing Business As: FOOT AND HEEL PAIN INSTITUTE OF MICHIGAN

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
22250 PROVIDENCE DR
SUITE 608
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 557-6500
Get Directions

TARA SCOTT, PC is a foot and ankle surgery podiatrist in Southfield, MI. TARA SCOTT, PC NPI is 1083864151. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foot And Heel Pain Institute Of Michigan.

The provider's business location address is:

22250 PROVIDENCE DR
SUITE 608
SOUTHFIELD, MI
ZIP 48075-825
Phone: (248) 557-6500
Fax: (248) 557-2781

The provider's authorized official is Tara Long Scott .
The authorized official title is Owner / Ceo and has the following contact phone number (248) 557-6500.

The enumeration date for this NPI number is 9/25/2008 and was last updated on 4/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	TS001844	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0N81000	MEDICARE PIN	MICHIGAN
2	0N81000001	MEDICARE UPIN	MICHIGAN
3	4856351640	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
4	DB8502	OTHER	MICHIGAN	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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