Active NPI
Scott B Karlene MD PC
- Dermatology Physician
- Flint, MI
National Provider Identifier
1124293147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Baxter Karlene, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3258453 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- Flint, MI
- NPI 1619900255
-
- Physician Assistant
- Berkley, MI
- NPI 1275768392
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.