Scope Medical Group PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SCOPE MEDICAL GROUP PLLC

Practice address

43475 Dalcoma Dr Ste 160
Clinton Township, MI 48038-3550

Phone

(248) 221-1845

Fax

(248) 308-5525

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Karrie Wirth

Title

Office Manager

Phone

(248) 342-3252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Edward Antosiek, D.O.

  • Gastroenterology Physician
  • Clinton Township, MI
  • NPI 1376926972

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Alexia Shina

  • Physician Assistant
  • Southfield, MI
  • NPI 1073316741
  Medicare reassignment Care Compare group NPD
• Mohanad Suede, MD

  • Gastroenterology Physician
  • Clinton Township, MI
  • NPI 1720436843
  Medicare reassignment Care Compare group NPD
• Taras Andrushkiw, NP-C

  • Family Nurse Practitioner
  • Clarkston, MI
  • NPI 1215600135
  Medicare reassignment NPD
• Susan Tracy Wolgamott, DNP

  • Family Nurse Practitioner
  • Bloomfield Township, MI
  • NPI 1760894638
  Medicare reassignment NPD

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1841940905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383550",
            "telephone_number": "248-221-1845",
            "fax_number": "248-308-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383550",
            "telephone_number": "248-221-1845",
            "fax_number": "248-308-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOPE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "WIRTH",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-342-3252"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Schweiger, P.A.-C
• Michelle Helen Schymick, LBSW
• Michael Scianimanico
• Holly Scofield
• Scooter Store Detroit LLC
• Anna Scott
• Nancy Scott
• William Searls, DO
• Leslie Ellen Sebastian, LBSW
• Joyce Linda Seedorff, LMSW

• Gastroenterology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.