Colleen M Scott, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101014932 Issued in MI

Practice address

22905 W Main St
Armada, MI 48005-3247

Phone

(586) 473-8082

Fax

(586) 473-8129

NPI assigned

Jul 7, 2006

Last updated

Feb 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Jordan Family Health Center

  • Federally Qualified Health Center (FQHC)
  • East Jordan, MI
  • NPI 1114958691
  Medicare reassignment NPD
• East Jordan Family Health Center

  dba Bellaire Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Bellaire, MI
  • NPI 1376750091
  NPD
• Colleen Kennedy DO PC

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1295933000
  NPD (past)
• Family First Health Care Capac PLLC

  • Family Medicine Physician
  • Capac, MI
  • NPI 1376601179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1063444966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22905 W MAIN ST",
            "address_2": "P.O.BOX 536",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480053247",
            "telephone_number": "585-864-7380",
            "fax_number": "586-473-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22905 W MAIN ST",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480053247",
            "telephone_number": "586-473-8082",
            "fax_number": "586-473-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4961907",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7852659",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E031600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2515930",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "08-5501196-4",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4865992",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Pierce
• Plymouth Physical Therapy Specialists Limited Partnership
• Rhema Armada Operating LLC
• Natalie Rolfe
• Deborah Lynn Saelens, MA, LLP, LPC
• Gretta Shara, DPM
• Kali Alyss Sherry, PT,DPT, KEOMPT
• Smidi Drugs Inc (Armada Pharmacy)
• Paul Lucki Smith, PH.D.
• Ashley Marie Snyder, NP

• Family Medicine Physician in Armada, MI
• Providers in Armada, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.