Robert Eugene Scribner III, MSN, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704298931 Issued in MI

Practice address

27209 Lahser Rd Ste 120
Southfield, MI 48034-8402

Phone

(248) 996-8730

Fax

(248) 996-8926

NPI assigned

Aug 6, 2020

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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.

• Metro Infectious Disease Consultants, LLC

  dba Midc, LLC

  • Infectious Disease Physician
  • Burr Ridge, IL
  • NPI 1235125717

  MI, OH

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1144830803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13913 TOEPFER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480895842",
            "telephone_number": "616-485-8022",
            "fax_number": "313-745-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD STE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348402",
            "telephone_number": "248-996-8730",
            "fax_number": "248-996-8926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13913 Toepfer Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480895842",
            "country_code": "US",
            "telephone_number": "616-485-8022",
            "fax_number": "313-745-4273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCRIBNER",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_suffix": "III",
        "credential": "MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704298931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Yolanda Scott, LMSN ACSN
• Nicorya Scott, NURSE PRACTITIONER
• Tara Long Scott, D.P.M.
• Tonya Scott, NP
• Tyiesha Scott
• Jenny Scroggie, MSN, APRN, AGPCNP-BC
• Eleanore Sculati, LLMSW
• John W Sealey, D.O.
• Darrell Duwuan Seals
• Kennedi Seals, PA-C

• Gerontology Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.