Individual provider Active NPI

Leslie Adele Scott, D.O.

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1093163701
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101022534 Issued in MI
Practice address
11885 E 12 Mile Rd Ste 300a
Warren, MI 48093-3467
Phone
(586) 582-6630
Fax
(586) 582-6631
NPI assigned
Jun 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101022534 MI Primary

Addresses

Primary practice location

11885 E 12 Mile Rd Ste 300a
Warren, MI 48093-3467

Mailing address

11885 E 12 Mile Rd Ste 300a
Warren, MI 48093-3467
Phone (586) 582-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20200226000497 OH Practitioner - Internal Medicine 8224328083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Blanchard Valley Regional Health CenterGroup PAC ID 3971404187, 88 clinicians
Blanchard Valley Medical Practice LLCGroup PAC ID 9234168147, 72 clinicians
NW Ohio Hospital Medicine Physicians LLCGroup PAC ID 5092169375, 55 clinicians

Practice addresses (Care Compare)

1900 S Main St
Findlay, OH 45840-1214
Phone (419) 423-4500

617 N Countyline St
Suite B
Fostoria, OH 44830-1505
Phone (419) 436-9554

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (844) 270-6621

Hospital & facility affiliations

  • Bridge Home Health and Hospice Home health agency, Findlay, OH, CCN 367102
  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095
  • Blanchard Valley Hospital Inpatient rehabilitation facility, Findlay, OH, CCN 36T095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Medical Practice LLC Internal Medicine CurrentSince Apr 22, 2024 Accepting new patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Oct 4, 2023 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Dec 17, 2019 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Dec 17, 2019 Accepting new patients
Blanchard Valley Regional Health Center Internal Medicine Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

930 Sheriden Dr
Ste A
Carey, OH 43316
Phone (419) 396-7683

3949 N Main St
Ste B
Findlay, OH 45840
Phone (419) 423-3888

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

1800 N Blanchard St
Ste 121
Findlay, OH 45840
Phone (419) 427-0809

617 N Countyline St
#B
Fostoria, OH 44830
Phone (419) 435-7730

Organizations & group practices 6

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1093163701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD STE 300A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933467",
            "telephone_number": "586-582-6630",
            "fax_number": "586-582-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD STE 300A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933467",
            "telephone_number": "586-582-6630",
            "fax_number": "586-582-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LESLIE",
        "middle_name": "ADELE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101022534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.