Timothy Michael Scott, D.O

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

XXXXXXXX Issued in MI

Practice address

4201 Saint Antoine St
Detroit, MI 48201-2153

Phone

(416) 466-0776

NPI assigned

Aug 16, 2010

Sex

Male

Sole proprietor

No

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, OH, NY, IL, IN, FL, GA, CO8 enrollments

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 8

Specialty

Emergency Medicine

Education

Lincoln Memorial University Medical Department, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverwood Emergency Services IncGroup PAC ID 1153225669, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
• Mercy Health - Defiance Hospital Hospital, Defiance, OH, CCN 360270
• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 27)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

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.

• Riverwood Emergency Services Inc.

  • Emergency Medicine Physician
  • Perrysburg, OH
  • NPI 1104888536
  Medicare reassignment Care Compare group NPD
• University Pediatricians

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1811920549
  Medicare reassignment NPD
• Hles of Ohio, Inc.

  • Emergency Medicine Physician
  • Wauseon, OH
  • NPI 1679806301
  Medicare reassignment NPD
• Peach State Emergency Physicians LLC

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1053170605
  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  IN

  Medicare reassignment
• University Pediatricians

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1184471690
  NPD
• Hles of Ohio Inc

  • Emergency Medicine Physician
  • East Liverpool, OH
  • NPI 1487380770
  NPD
• Hles of Ohio Inc

  • Emergency Medicine Physician
  • Coshocton, OH
  • NPI 1508301623
  NPD
• Openloop Healthcare Partners California PC

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1598418063
  NPD
• Openloop Healthcare Partners California PC

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1659042331
  NPD
• Openloop Healthcare Partners Colorado, PC

  • General Practice Physician
  • Denver, CO
  • NPI 1912678012
  NPD
• Welltrackone Corporation

  • Specialist
  • Hilton Head Island, SC
  • NPI 1770367468
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health - Defiance Hospital LLC

  • General Acute Care Hospital
  • Defiance, OH
  • NPI 1629011234
  Care Compare affiliation
• Mercy Health - St Vincent Medical Center LLC

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation
• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1346555240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E FERRY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023814",
            "telephone_number": "416-466-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "416-466-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "XXXXXXXX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renia Scott
• Roxana Prince Scott, MS, LPC
• Shekyla Nicole Scott, M.D.
• Tasha L Scott, CNM
• Taylor Scott
• Wendy Deanna Scott, LLPC
• Nicole Scruggs
• Tonya Scruse
• Patrina L Scurlock
• John Michael Sczomak, PHD

• Emergency Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.