Active NPI
Scott Thomas Maurer, MD
- Pediatric Cardiology Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 4301108861
- Practice address
- 1200 East Michigan Ave
Suite 725
Lansing, MI 48912 - Phone
- (517) 364-5599
- NPI assigned
- May 24, 2006
- Last updated
- May 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301108861 | MI | |
| Pediatric Cardiology Physician | 2080P0202X | 2012-01960 | NC | |
| Pediatric Cardiology Physician | 2080P0202X | 4301108861 | MI | Primary |
Addresses
Primary practice location
1200 East Michigan Ave
Suite 725
Lansing, MI 48912
Mailing address
1105 Sixth St
Traverse City, MI 49684-2345
Other practice location 1
14700 Lake Shore Dr
Charlevoix, MI 49720-1999
Phone (231) 935-6370
Other practice location 2
1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 392-8280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5921810 | Medicaid | NC |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301108861 | MI | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Pediatrics | Current | Accepting new patients |
| Regents of the University of Michigan | Pediatrics | Current | Accepting new patients |
| McLaren Central Michigan | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Pediatrics | Current | Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Medical Center | Pediatrics | Current | Accepting new patients |
| Regents of the University of Michigan | Pediatrics | Current | Accepting new patients |
| McLaren Central Michigan | Current | Accepting new patients | |
| Metropolitan Hospital | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1500 E Medical Center Dr
Fl 11
Ann Arbor, MI 48109
Phone (734) 764-5176
3621 S State St
#700
Ann Arbor, MI 48108
8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
1200 E Michigan Ave
Ste 725
Lansing, MI 48912
Phone (517) 364-5599
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1221 Sixth St
Ste 212
Traverse City, MI 49684
Phone (231) 392-0210
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
Interoperability endpoints
- smaurer@direct.mhc.net
- smaurer2307893@direct.trinity-health.org
- smaurer699212@direct.med.umich.edu
Organizations & group practices 14
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.
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
dba Metro Health Hospital
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
dba Physician Clinic of Charlevoix
- Pediatrics Physician
- Charlevoix, MI
- NPI 1326124058
-
dba Endocrinology and Metabolism
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
Pediatrics
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- Certified Registered Nurse Anesthetist
- Charlevoix, MI
- NPI 1417033143
-
dba Munson Healthcare Charlevoix Walk-In Clinic
- Family Medicine Physician
- Charlevoix, MI
- NPI 1972367043
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1760437891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 SIXTH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EAST MICHIGAN AVE",
"address_2": "SUITE 725",
"city": "LANSING",
"state": "MI",
"postal_code": "48912",
"telephone_number": "517-364-5599"
}
],
"practiceLocations": [
{
"address_1": "14700 Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "497201999",
"country_code": "US",
"telephone_number": "231-935-6370",
"fax_number": "231-935-6451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1105 Sixth St",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842345",
"country_code": "US",
"telephone_number": "231-392-8280",
"fax_number": "231-935-2127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAURER",
"first_name": "SCOTT",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301108861",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NC",
"license": "2012-01960",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MI",
"license": "4301108861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5921810",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.