All Seasons Skin and Surgery Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101012096MI Issued in MI

Legal business name

ALL SEASONS SKIN AND SURGERY CENTER

Practice address

6300 State St
Suite 2
Saginaw, MI 48603-2730

Phone

(989) 797-7546

Fax

(989) 797-6007

NPI assigned

Jul 10, 2012

Last updated

Jul 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Constance Lee Scott, D.O.NPI 1144331398

Title

Physician

Phone

(989) 797-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Constance L Scott, DO

  • Dermatology Physician
  • Saginaw, MI
  • NPI 1144331398
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1528323185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STATE ST",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032730",
            "telephone_number": "989-797-7546",
            "fax_number": "989-797-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STATE ST",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032730",
            "telephone_number": "989-797-7546",
            "fax_number": "989-797-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SEASONS SKIN AND SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-797-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101012096MI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.