DR. SCOTT R PYNNONEN M.D. NPI 1770691503

NPI Information

  • NPI: 1770691503
  • Provider Name: DR. SCOTT R PYNNONEN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18341 US HIGHWAY 41
    LANSE, MI
    ZIP 49946
  • Phone: (906) 524-6118

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NPI Details

DR. Scott R Pynnonen, M.D. is a family medicine in Lanse, MI with 44 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Scott R Pynnonen, M.D. NPI is 1770691503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1982

The provider's business location address is:

18341 US HIGHWAY 41
LANSE, MI
ZIP 49946-024
Phone: (906) 524-6118
Fax: (906) 524-6218

The NPI 1770691503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 11/15/2012.

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
1207Q00000XFamily Medicine4301046352MICHIGANYes

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
1P00186817OTHERRAILROAD MEDICARE
2238646OTHERMICHIGANRHC MEDICARE
3010Z76002 SP046352OTHERMICHIGANBLUE CROSS ER SERVICES
40Z76002003MEDICARE ID-TYPE UNSPECIFIEDER SERVICES
5080Z710040 SP046352OTHERMICHIGANBLUE CROSS-OFFICE
6B45445MEDICARE UPIN
7N95910001MEDICARE ID-TYPE UNSPECIFIEDOFFICE
82765011MEDICAIDMICHIGAN
94627462MEDICAIDMICHIGAN

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: 11/21/2025

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