Scott C. Crader M.D. P. C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301075472 Issued in MI

Legal business name

SCOTT C. CRADER M.D. P. C.

Practice address

50505 Schoenherr Rd
Suite 330
Shelby Township, MI 48315-3140

Phone

(586) 710-0900

Fax

(586) 710-0914

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Patti Ann Notoriano

Title

Credentialing/Reimbursement

Phone

(586) 710-0907

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1821304924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 UNIVERSITY PL",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301260",
            "telephone_number": "313-885-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 330",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-710-0900",
            "fax_number": "586-710-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT C. CRADER M.D. P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "NOTORIANO",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING/REIMBURSEMENT",
        "authorized_official_telephone_number": "586-710-0907",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301075472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.