Organization Active NPI

Scott B Karlene MD PC

  • Dermatology Physician
  • Flint, MI
National Provider Identifier
1124293147
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SCOTT B KARLENE MD PC
Practice address
1352 S Linden Rd
Flint, MI 48532-4185
Phone
(810) 230-0001
Fax
(810) 230-0014
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Scott Baxter Karlene, MDNPI 1619900255
Title
President
Phone
(810) 230-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1352 S Linden Rd
Flint, MI 48532-4185

Mailing address

1352 S Linden Rd
Flint, MI 48532-4185
Phone (810) 230-0001

Other identifiers 1

IdentifierTypeStateIssuer
3258453MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000130 MI Part B Supplier - Clinic/Group Practice 5395814057 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI; Warren, MI

National Provider Directory

National Provider Directory

Locations

3990 E 12 Mile Rd
Warren, MI 48092
Phone (586) 573-4980

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1124293147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324185",
            "telephone_number": "810-230-0001",
            "fax_number": "810-230-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324185",
            "telephone_number": "810-230-0001",
            "fax_number": "810-230-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT B KARLENE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "KARLENE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "BAXTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-230-0001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3258453",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.