Organization Active NPI

Scott a Nemec DO PC

  • Orthopaedic Surgery Physician
  • Petoskey, MI
National Provider Identifier
1457587396
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
510101568 Issued in MI
Legal business name
SCOTT A NEMEC DO PC
Practice address
4048 Cedar Bluff Dr
Petoskey, MI 49770-8895
Phone
(231) 439-8020
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Scott Allen Nemec, DO
Title
Owner
Phone
(231) 439-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 510101568 MI Primary

Addresses

Primary practice location

4048 Cedar Bluff Dr
Petoskey, MI 49770-8895

Mailing address

4048 Cedar Bluff Dr Ste 1
PO Box 430
Petoskey, MI 49770-8895
Phone (231) 439-8020

Other identifiers 1

IdentifierTypeStateIssuer
0B40015OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

918 N Center Ave
Gaylord, MI 49735
Phone (231) 487-3610

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1457587396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR STE 1",
            "address_2": "PO BOX 430",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-439-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-439-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A NEMEC DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "NEMEC",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-439-8020",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "510101568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0B40015",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.