Active NPI
Scott Thompson, PA-C
- Physician Assistant
- Saint Clair Shores, MI
National Provider Identifier
1417909987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004193
- Practice address
- 21709 Grossedale St
Saint Clair Shores, MI 48082-1661 - Phone
- (586) 489-6958
- NPI assigned
- May 16, 2006
- Last updated
- Oct 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004193 | MI | Primary |
| Hospitalist Physician | 208M00000X | 5601004193 | MI |
Addresses
Primary practice location
21709 Grossedale St
Saint Clair Shores, MI 48082-1661
Mailing address
21709 Grossedale St
Saint Clair Shores, MI 48082-1661
Phone (586) 489-6958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
27941 Harper Ave
Suite 104
Saint Clair Shores, MI 48081-1535
Phone (833) 789-4673
39111 6 Mile Rd
Livonia, MI 48152-3926
Phone (833) 789-4673
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 82.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Health Management PC | Past | Accepting new patients | |
| Integrated Health Psychology | Past | Accepting new patients | |
| Motor City Internists | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Clinical Psychologist
- Livonia, MI
- NPI 1730833138
-
- Clinical Psychologist
- Iron River, MI
- NPI 1548995608
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1073683082
-
- Clinical Psychologist
- Commerce TWP, MI
- NPI 1629568225
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1881635241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1417909987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21709 GROSSEDALE ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480821661",
"telephone_number": "586-489-6958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21709 GROSSEDALE ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480821661",
"telephone_number": "586-489-6958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SCOTT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004193",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "5601004193",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.