NPIMap

Individual provider Active NPI

Laura M Scott, P.A.-C

  • Surgical Physician Assistant
  • Midland, MI
National Provider Identifier
1285675843
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
LG004143 Issued in MI
Practice address
4007 Orchard Dr
Sutie 2003
Midland, MI 48640-6187
Phone
(989) 631-6710
Fax
(989) 631-8583
NPI assigned
Jun 8, 2006
Last updated
Sep 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X LG004143 MI Primary

Addresses

Primary practice location

4007 Orchard Dr
Sutie 2003
Midland, MI 48640-6187

Mailing address

4007 Orchard Dr
Suite 2003
Midland, MI 48640-6187
Phone (989) 631-6710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000941 MI Practitioner - Physician Assistant 1759276785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660

335 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 343-3730

4000 Wellness Dr
Midland, MI 48670-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
LG004143MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration Mi PLLC CurrentSince Jan 6, 2020 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Dec 26, 2023 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Dec 26, 2023 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Dec 26, 2023 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Dec 26, 2023 Accepting new patients
Midland Surgical Group PC Past Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

2621 W Wackerly St
Ste A
Midland, MI 48640
Phone (989) 631-6125

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

3810 W Centre Ave
Ste A
Portage, MI 49024

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Interoperability endpoints

  • Direct secure messaging: laura.scottpa.p3@direct.cvr.nextgenshare.com
  • Direct secure messaging: lscott9958@mymichiganhealth.midirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1285675843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 ORCHARD DR",
            "address_2": "SUITE 2003",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406187",
            "telephone_number": "989-631-6710",
            "fax_number": "989-631-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 ORCHARD DR",
            "address_2": "SUTIE 2003",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406187",
            "telephone_number": "989-631-6710",
            "fax_number": "989-631-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "LG004143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.