Active NPI
Scott a Nemec DO PC
- Orthopaedic Surgery Physician
- Petoskey, MI
National Provider Identifier
1457587396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 510101568
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B40015 | Other | MI | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.