Individual provider Active NPI

Scott David Cline, M.D.

  • Emergency Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1295886802
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
49952 Issued in MN
Practice address
1850 Whites Rd Ste 3
Kalamazoo, MI 49008-4801
Phone
(269) 343-3900
Fax
(269) 343-5640
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301083469 MI
Emergency Medicine Physician 207P00000X 49952 MN Primary

Addresses

Primary practice location

1850 Whites Rd Ste 3
Kalamazoo, MI 49008-4801

Mailing address

1119 Miles Ave
Kalamazoo, MI 49001-4986
Phone (269) 349-2737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000751 MN Practitioner - Emergency Medicine 4880796820 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301083469MIMDEmergency Medicine Physician
49952MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph'S Medical Center CurrentSince Dec 15, 2020 Accepting new patients
Healthpartners RC CurrentSince Sep 2, 2021 Accepting new patients
St Joseph'S Area Health Services CurrentSince Jul 1, 2025 Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
St. Joseph'S Area Health Services Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Healthpartners RC CurrentSince Sep 2, 2021 Accepting new patients
Emergency Physicians Professional Association Emergency Medicine Current Accepting new patients

Locations

3314 Solutions Ctr
Chicago, IL 60677

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

Interoperability endpoints

  • Direct secure messaging: scline109535@direct.centracare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1295886802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 MILES AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014986",
            "telephone_number": "269-349-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WHITES RD STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084801",
            "telephone_number": "269-343-3900",
            "fax_number": "269-343-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301083469",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "49952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.