Individual provider Active NPI

Scott Thompson, PA-C

  • Physician Assistant
  • Saint Clair Shores, MI
National Provider Identifier
1417909987
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004193 Issued in MI
Practice address
21709 Grossedale St
Saint Clair Shores, MI 48082-1661
Phone
(586) 489-6958
NPI assigned
May 16, 2006
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000530 MI Practitioner - Physician Assistant 3072407923 Reassigns benefits to 2 organizations

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
Hope Counseling Centers LLCGroup PAC ID 7214311703, 3 clinicians

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 100Reported as group
Quality
90
Improvement activities
40
Cost
82.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.