Active NPI
Diane C Scribner, PA-C
- Physician Assistant
- Owosso, MI
National Provider Identifier
1629170394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003092
- Practice address
- 239 N. State Rd
Suite a,
Owosso, MI 48867 - Phone
- (989) 729-4848
- Fax
- (989) 729-4849
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003092 | MI | Primary |
Addresses
Primary practice location
239 N. State Rd
Suite a,
Owosso, MI 48867
Mailing address
501 Lapeer
Saginaw, MI 48607-1208
Phone (989) 759-6464
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175811 | Other | MI | GREAT LAKES HEALTH PLAN OF MICHIGAN |
| 54507 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 381908328 | Other | TRICARE | |
| 381908328-433 | Other | MI | CARE SOURCE OF MICHIGAN |
| 080G310660 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003092 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Bay Health Centers | Past | Accepting new patients | |
| Great Lakes Bay Health Centers | Past | Accepting new patients | |
| Great Lakes Bay Health Centers | Past | Accepting new patients | |
| Pittsburg Family Healthcare, PC | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients | |
| Stat Care PC | Past | Accepting new patients | |
| Statcare PC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Owosso, MI
- NPI 1548407992
-
- Federally Qualified Health Center (FQHC)
- Midland, MI
- NPI 1609609536
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1871684761
-
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
-
- Family Medicine Physician
- Owosso, MI
- NPI 1811177827
-
- Emergency Medical Services (Emergency Medicine) Physician
- Flint, MI
- NPI 1013919372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1629170394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPEER",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486071208",
"telephone_number": "989-759-6464",
"fax_number": "989-399-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 N. STATE RD",
"address_2": "SUITE A,",
"city": "OWOSSO",
"state": "MI",
"postal_code": "48867",
"telephone_number": "989-729-4848",
"fax_number": "989-729-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRIBNER",
"first_name": "DIANE",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN OF MICHIGAN",
"identifier": "175811",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "54507",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "381908328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE OF MICHIGAN",
"identifier": "381908328-433",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "080G310660",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.