Active NPI
Scott L Pacheco, CCP
- Perfusionist
- Livonia, MI
National Provider Identifier
1154720829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- Practice address
- 31330 Schoolcraft Rd
Ste 200
Livonia, MI 48150-2041 - Phone
- (734) 525-9712
- NPI assigned
- Aug 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | Primary |
Addresses
Primary practice location
31330 Schoolcraft Rd
Ste 200
Livonia, MI 48150-2041
Mailing address
31330 Schoolcraft Rd
Ste 200
Livonia, MI 48150-2041
Phone (734) 525-9712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1154720829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31330 SCHOOLCRAFT RD",
"address_2": "STE 200",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502041",
"telephone_number": "734-525-9712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31330 SCHOOLCRAFT RD",
"address_2": "STE 200",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502041",
"telephone_number": "734-525-9712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "SCOTT",
"middle_name": "L",
"credential": "CCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.